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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11089
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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increase in a thick, white fatty tissue under the skin itself..my eyes

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as I am aging, I'm getting more and more puffiness under my eyes. When I look closely it appears that the bags are being caused by an increase in a thick, white fatty tissue under the skin itself. I used to have a really piercing beautiful look to my eyes and now I can't stand the growing bags. too vain I suppose...can you help? cosmetic remedies seem bogus.

thanks Kyler

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

you are correct....there are thousands of cosmetic products out there to treat this condition. Why so many? Because they don't work :)

Dr. Rick :

It sounds like you have orbital fat prolapse. This is a benign, but very common, condition.


 


With age the thin, tough membrane (orbital septum) that keeps the normal fat pad in place behind your eye becomes weak and tears. When this happens you start to notice the swelling, or bags, under your eyes. It is nothing to worry about.


 


The only way to treat this problem is with surgery, called a blepharoplasty. Many times it can be done in a procedure room in the ophthalmologist’s office.


 

Dr. Rick :

Plastic surgeons and oculo-plastic surgeons (specially trained ophthalmologists) also do this type of surgery.

Dr. Rick :

Does this make sense to you?

Dr. Rick :

Are you there?

Customer:

yes

Customer:

so what can I do in the meantime?

Dr. Rick :

Makeup is about the only thing......

Dr. Rick :

However, as I guy I really can't give you any advice along these lines?

Dr. Rick :

oops....ignore the question mark above.... :)

Customer:

the surgery is probably elective...

Dr. Rick :

Ya....Insurance companies found that if they cover this surgery then the CEO's only get 4 or 5 million in yearly bonus' and, I'm sure, you can understand how difficult if would be to ask a CEO to get by on such meager fare.....

Customer:

will it keep getting worse?

Dr. Rick :

ummmm....that is a very good question. As the tissue gets thinner and continues to tear more fat could come forward.....it really varies from person to person. Also, there is really nothing you can do to affect the rate that this does or does not progress.

Customer:

when I examine my eye...and pull back on the skin..I see this large, white, fatty, freshy tissue...is that what gets removed

Customer:

sorry...I meant "fleshy"

Dr. Rick :

yes. That is fat that you are seeing. Not all that gets removed since the fat pads are needed to cushion and position your eye and eye muscles etc in your orbit. Just the fat tissue that is "pooching" forward is removed.

Dr. Rick :

Got it :)

Dr. Rick :

I hate when my fingers don't type what I tell them to....

Customer:

yes thanks good luck with your practice and thanks

Dr. Rick :

My pleasure. Have a good day.

Dr. Rick :

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