Why Lack of Sleep or Insomnia are Not Likely Causes of Permanently Puffy Eyes or Eye Bags




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A 31-year-old woman has had lower eye puffiness for the last 8 years and wonders if it’s because of insomnia. She has been sleeping more for the last 2 months but the under eye puffiness won’t go away. She wants to know if she will need lower eyelid surgery to correct it.

Dr. Amiya Prasad, an oculofacial plastic surgeon, explains that puffiness under the eyes despite of enough sleep and rest represents something called lower eyelid fat prolapse. This is means that fat that is normally around the eyes creates a bulge. To correct this, patients will need some type of surgical procedure.

Dr. Prasad say that there are two approaches in treating puffy bags below the eyes: transcutaneous blepharoplasty in which the incision is made from the outside of the eyelid; the other is transconjunctival blepharoplasty which is done from the inside of the eyelid. Based on this woman’s age and the photos she submitted, she would most benefit from a transconjunctival approach since no one would be able to tell that she underwent any surgery. This also creates a dramatic impact on her appearance.

In Dr. Prasad’s practice, eyelid surgeries are done under local anesthesia with LITE™ IV sedation. This spares the patient from undergoing general anesthesia but still gives them the right amount of sedation and they are also able to recover quickly after surgery. Typically, patients who had eyelid surgery go back to work in a week or even less with very little bruising and swelling. In addition, Dr. Prasad’s procedures are done in his own joint commission approved facilities with the highest level of safety so patients are assured that they get the right kind of care needed.


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