Why Puffy Eye Bags are not Caused by Excessive Eye Rubbing from an Early Age. A gentleman constantly scratched his eyes when he was a child because of itchiness. He says that he didn't have under eye bags but noticed them 3 years ago. He wears glasses and the bags under his eyes can get huge and shiny, especially in the morning. He asks if the scratching 11 years ago caused this.
Dr. Amiya Prasad explains that there is evidence showing eye bags are more of a genetic issue and runs in families in variable patterns. When one looks at their family's history, they would probably see a family member who had eye bags at the same age as them. Eye bags or the appearance of puffiness can be accelerated by other factors such seasonal allergies or if one rubs their eyes a lot. Patients who have allergies and rub their eyes often causes a fluid shift into the fat pocket area of the eyes. Since the skin under the eyes is very fine and thin, it may look translucent and have a bluish quality. Other people can also get something called allergic shiners that are actually iron deposits from chronic pooling of blood in this area.
Dr. Prasad says if puffiness under the eyes has always been present even if the patient had enough sleep or when other factors are not an issue, then it is called lower eyelid fat prolapse. This means that the puffiness is a result of fat that's around the eyes pushing forward. This gives the eyes a constant appearance of bags under them.
In Dr. Prasad's opinion, aggressive eye rubbing when the patient was a child may not have a direct relationship of causing eyebags to appear. He was a child at the time when he was rubbing his eyes a lot. His face has now grown and other things have changed since and it seems like this patient hasn't been rubbing his eyes as aggressively as before.
Dr. Prasad says that what matters now is if it bothers him, can he live with it or if he wants to pursue some type of intervention. From the photos this patient has submitted, Dr. Prasad can see that there is puffiness under his eyes. When the time is right, he might be a good candidate for transconjunctival blepharoplasty. This is the reduction of fat from behind the eyelid. At this point, it's best to pursue a consultation to evaluate his allergic status and try to manage what he can manage and consider surgical options if they are indicated.
More about transconjunctival blepharoplasty here:
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