How to get rid of UNDER EYE BAGS FAST (the SAFEST ways) | 👁 Ophthalmologist @michaelchuamd — Transcript

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1. 0:00are you trying to get rid of those bags
2. 0:02under your eyes that can make you look
3. 0:04tired or sleepy i'm dr michael chua a
4. 0:07board certified ophthalmologist with
5. 0:08puente hills eye care and in this video
6. 0:11i'll review some of the most effective
7. 0:12treatments for getting rid of those
8. 0:14pesky puffy eye bags i know there's a
9. 0:17lot of expensive creams and products
10. 0:19maybe in beauty stores or on the
11. 0:20internet that may or may not work so
12. 0:23i'll go through the best treatments that
13. 0:25are actually backed by real science and
14. 0:27hopefully save you some money
15. 0:29before we go through the treatments
16. 0:30let's first discuss the causes of lower
17. 0:32eye bags there are many reasons why we
18. 0:34may temporarily have more prominent eye
19. 0:36bags including lack of sleep allergies
20. 0:39and increased salt intake these can
21. 0:41cause increased fluid retention in the
22. 0:43fat surrounding the eyes called the
23. 0:45periorbital fat this increased fluid
24. 0:48causes the puffiness you can see in the
25. 0:50lower eyelid
26. 0:51alcohol can also worsen the appearance
27. 0:53of puffy eye bags since it dehydrates
28. 0:55your skin and since the skin around your
29. 0:58eyelids is the thinnest skin in your
30. 1:00face if you're dehydrated changes in
31. 1:02your eyelid skin will be more prominent
32. 1:04if you notice that your eye bags are
33. 1:06always present then it's more likely an
34. 1:09anatomic issue that is the peri-orbital
35. 1:12fat is likely protruding forward
36. 1:14fat pads are located in compartments
37. 1:16around the eye but as we all get a
38. 1:18little bit older the tissue that's
39. 1:20supposed to be keeping the fat in its
40. 1:21place
41. 1:22loses its tightness and strength and as
42. 1:25it loosens that fat can herniate forward
43. 1:28although this protrusion of fat is
44. 1:29commonly associated with aging it isn't
45. 1:32always genetics also plays a key role
46. 1:34and in some people even in their 20s and
47. 1:3730s just happen to be born with
48. 1:39prominent fat pads
49. 1:40another thing that contributes to the
50. 1:42appearance of eye bags is the tear
51. 1:43trough which is the ligamentous
52. 1:45attachment of skin to muscle and bone on
53. 1:48the nasal side of the eyelid
54. 1:50this pulls the area underneath the fat
55. 1:52pad down and in and if it's more sunken
56. 1:55in then the bulge of a fat pad may
57. 1:57appear more prominent so it's these two
58. 2:00components that is prolapsing
59. 2:02peri-orbital fat and a sunken in tear
60. 2:05trough which can cause the appearance of
61. 2:06tired puffy eye bags
62. 2:09okay now that we understand the
63. 2:10physiology and anatomy of lower eye bags
64. 2:13let's discuss how you can prevent them
65. 2:15one of the best ways to prevent eye bags
66. 2:17is to get good sleep many studies have
67. 2:20shown that there's a lot of restorative
68. 2:22processes that occur for your skin while
69. 2:24you're sleeping
70. 2:25sleep deprivation is associated with
71. 2:27fine lines in the skin dehydration
72. 2:30uneven pigmentation and reduced
73. 2:32elasticity the skin on your eyelid is
74. 2:34about half a millimeter it's the
75. 2:36thinnest skin in your entire body so if
76. 2:38you have changes in your skin
77. 2:40architecture from sleep deprivation it
78. 2:42will be most obvious in your eyelids one
79. 2:45of the most effective ways to prevent
80. 2:46the appearance of eye bags is to get
81. 2:48plenty of good quality sleep around
82. 2:51seven to nine hours each night it also
83. 2:53helps to elevate your head when you
84. 2:55sleep to prevent the accumulation of
85. 2:57fluid in your eyelid area the next thing
86. 2:59you can do to prevent eye bags is to
87. 3:01decrease salty foods like chips fast
88. 3:03food and preserved foods from your diet
89. 3:06some other culprits for high sodium in
90. 3:08your diet include canned foods smoked
91. 3:10foods sausage cold cuts and pre-prepared
92. 3:14frozen foods
93. 3:15all of that salt causes fluid retention
94. 3:18particularly around your eyes and that
95. 3:20can increase the puffiness of eye bags
96. 3:22okay the next tip i have is to cut down
97. 3:24on alcohol intake alcohol is a diuretic
98. 3:27and it dehydrates your skin that can
99. 3:29make the skin around your eyelids look
100. 3:31flabby and make the eye bags look a
101. 3:33little bit more noticeable as you
102. 3:35mentioned before your eyelid skin is
103. 3:37covering up that muscle and fat right
104. 3:39behind it so if your already really thin
105. 3:42eyelid skin is dried out instead of
106. 3:44being hydrated and plumped up then
107. 3:47you're gonna see some of that
108. 3:48discoloration and the blood vessels from
109. 3:50the tissue just deep to that skin
110. 3:53causing you to have the appearance of
111. 3:54those tired eyes one other way to
112. 3:56decrease your eye bags is to treat your
113. 3:59allergies if you have a history of
114. 4:01problems with allergies
115. 4:02make sure to see your ophthalmologist to
116. 4:04ensure that you have an effective
117. 4:06antihistamine regimen to keep your
118. 4:07allergies in check
119. 4:09this can include antihistamine eye drops
120. 4:11or pills you can watch my video here to
121. 4:14learn more about the best treatments for
122. 4:15allergies around the eyes the next thing
123. 4:17you can do to prevent eye bags is to
124. 4:19wear uv blocking sunglasses sunglasses
125. 4:22can prevent further uv damage to the
126. 4:24skin around the eyelid to decrease the
127. 4:26appearance of those puffy eye bags okay
128. 4:28now that we talked about the ways to
129. 4:30prevent eye bags let's talk about ways
130. 4:32to minimize the appearance of eye bags
131. 4:34that are already there the first
132. 4:35treatment you can try to shrink your eye
133. 4:37bags is cold compress this is basically
134. 4:40using what's called thermotherapy
135. 4:42the cold causes the blood vessels under
136. 4:44your eyes to constrict and it decreases
137. 4:46the amount of fluid in that area
138. 4:48decreasing the appearance of your eye
139. 4:50bags this cold also helps to tighten up
140. 4:52the orbicularis or the muscle that's
141. 4:54pushing back the periorbital fat
142. 4:57if that orbicularis muscle is nice and
143. 4:59tight then it'll keep the fat back where
144. 5:01it belongs one of the most effective and
145. 5:03cheap ways is to put some spoons in the
146. 5:05refrigerator then you put those cold
147. 5:07spoons on your lower eyelids for a few
148. 5:09minutes to decrease the appearance of
149. 5:11your under eye bags if you don't want to
150. 5:13stand around with spoons on your face
151. 5:15you can also buy a cold compressed mask
152. 5:17that you throw in the refrigerator some
153. 5:18of them have straps so you can have your
154. 5:20hands to continue your morning routine
155. 5:23they look a little bit ridiculous but on
156. 5:25the bright side you'll always have a
157. 5:26backup costume as robin if you need one
158. 5:29in a pinch the next treatments i'll
159. 5:30discuss is those skin tightening eye
160. 5:32creams one tick tock video went viral
161. 5:35recently showing quite a significant
162. 5:37effect for this lady you see all these
163. 5:39bags under my eyes
164. 5:41i'm 54.
165. 5:42anyways i'm very self-conscious of them
166. 5:44and i found this
167. 5:47and it works amazing i'm going to show
168. 5:50you
169. 5:55let me squeeze this out
170. 5:58i just put a little a little bit on
171. 6:09and i'm only going to do one side so you
172. 6:10can see the difference
173. 6:14and now we'll wait
174. 6:29in under three minutes can you see the
175. 6:31difference
176. 6:35the main ingredient in this product and
177. 6:38other skin tightening eye creams like it
178. 6:39is sodium silicate sodium silicate is an
179. 6:42estrogen which means that it can cause
180. 6:44body tissue to constrict
181. 6:46like we mentioned before if your
182. 6:48superficial tissue is tightened up then
183. 6:50it will help support the periorbital fat
184. 6:52and push it back temporarily
185. 6:55now this lady didn't have puffy swollen
186. 6:58eye backs per se she actually had what's
187. 6:59called mailer for students which are
188. 7:02basically hanging hammocks of loose skin
189. 7:04and muscle
190. 7:06male lure for students respond pretty
191. 7:07well to these eye creams because the
192. 7:09underlying cause is redundant lack skin
193. 7:12which is exactly what gets tightened
194. 7:14temporarily by this cream unfortunately
195. 7:16this cream isn't that effective for all
196. 7:18types of puppy eye bags and it often
197. 7:20leaves a dry white residue that's quite
198. 7:22noticeable
199. 7:24furthermore these creams aren't
200. 7:25regulated and there haven't been any
201. 7:27clinical studies on the long-term
202. 7:29effects of them these creams can also
203. 7:31cause an irritant contact dermatitis to
204. 7:33your eyelid skin and if they get in your
205. 7:35eye they can cause significant eye
206. 7:37irritation and inflammation there's a
207. 7:39bunch of different other eye creams that
208. 7:40you can find in any pharmacy and beauty
209. 7:43store but honestly many brands put
210. 7:46different moisturizers and fancy
211. 7:47sounding ingredients in these little
212. 7:49tubes and market them as expensive eye
213. 7:51creams
214. 7:52unfortunately though
215. 7:53many of these products are not very
216. 7:55effective at getting rid of under eye
217. 7:57bags and if you have a good facial
218. 7:59moisturizer like sever v it's totally
219. 8:01good enough for your eyelids too the
220. 8:03next treatment i'll discuss for eye bags
221. 8:05is under eye filler now i'll tell you
222. 8:07right off the bat i don't recommend the
223. 8:09use of filler for the treatment of under
224. 8:12eye bags some medical spots promote the
225. 8:14use of fillers to even out the contours
226. 8:16underneath the eyes to decrease the
227. 8:18appearance of tired eye bags often times
228. 8:20though these fillers can have
229. 8:22unpredictable results injectors often
230. 8:24mention that fillers only last three to
231. 8:2618 months but a recent clinical study
232. 8:29showed that this isn't true in this
233. 8:31study patients who received eyelid
234. 8:33fillers underwent mri imaging and the
235. 8:36researchers found that 100 of the
236. 8:38patients still had filler present two
237. 8:40years after the procedure and one
238. 8:42patient still had filler 12 years after
239. 8:45the last injection so if you have a
240. 8:47complication or if the filler doesn't
241. 8:49come out the way you wanted to you may
242. 8:51have to wait several years for those
243. 8:53effects to go away add this to the fact
244. 8:55that fillers are hydrophilic that is
245. 8:57they love and attract water so the
246. 8:59appearance of filler can change over
247. 9:01time as more water is attracted causing
248. 9:03an unpredictable and often undesirable
249. 9:06change in your appearance one common
250. 9:08response is that well if the filler
251. 9:10doesn't come out the way you want it to
252. 9:12you can dissolve these fillers with the
253. 9:14injection of an enzyme called
254. 9:15hyaluronidase
255. 9:17this is true but in order for the
256. 9:19hyaluronidase to be effective you need
257. 9:21to make sure you're injecting it into
258. 9:23the area where the filler is
259. 9:25unfortunately though many injectors
260. 9:27don't know the subtle nuances of eyelid
261. 9:29and orbital anatomy and sometimes the
262. 9:31filler can end up deep into the orbit or
263. 9:34the eye socket and essentially be right
264. 9:36next to the eyeball so if an injector is
265. 9:38trying to chase after this filler with a
266. 9:40syringe full of hyaluronidase it's
267. 9:43basically a blind shot because they
268. 9:44can't really see where the tip of the
269. 9:46needle is and since they're working in
270. 9:48an area really close to the eye it can
271. 9:51lead to inadvertent and permanent damage
272. 9:53to your eye and your vision i think the
273. 9:55most definitive treatment for under eye
274. 9:57bags if you're bothered by them is
275. 9:59surgery with a lower lid blepharoplasty
276. 10:02if you have puffy lower eyelids caused
277. 10:04from the protrusion of periorbital fat
278. 10:07it doesn't matter how many cold
279. 10:08compresses how many skin care products
280. 10:10you buy or how many creams you apply
281. 10:13none of these things are going to get
282. 10:15rid of the underlying cause which is
283. 10:17protruding fat the only way to get rid
284. 10:20of the fat is to
285. 10:21well physically get rid of it and that's
286. 10:24exactly what you do with a lower lid
287. 10:25blepharoplasty at our practice we
288. 10:27usually perform lower lid blepharoplasty
289. 10:29using a transconjunctival approach
290. 10:31meaning we make an incision on the
291. 10:33conjunctiva or the soft pink tissue
292. 10:35lining the eyes in order to access the
293. 10:37periorbital fat
294. 10:39then the fat is removed using a
295. 10:41combination of scissors and cautery
296. 10:43through this technique we're able to
297. 10:45obtain natural looking results for
298. 10:46patients in a safe and predictable way
299. 10:49okay i think that's enough information
300. 10:51for this video but in summary the best
301. 10:53ways to prevent the appearance of eye
302. 10:55bags are to get good sleep avoid salty
303. 10:58foods decrease alcohol intake treat your
304. 11:01allergies if you have any and to wear
305. 11:03sunglasses for uv protection the ways
306. 11:05i'd recommend to treat eye bags are to
307. 11:07keep your eyelids moisturized with a
308. 11:08good facial moisturizer like cerave
309. 11:11moisturizing cream and don't waste your
310. 11:13money on those crazy expensive eye
311. 11:15creams you can also use thermotherapy or
312. 11:18basically cold compress to the area for
313. 11:20a temporary fix and if you're looking
314. 11:22for a longer term fix consider a lower
315. 11:24lid blepharoplasty if you find this
316. 11:26information helpful please show us some
317. 11:28love and give us a like and subscribe
318. 11:30for future updates and if you live in
319. 11:32los angeles orange county or inland
320. 11:34empire area and want a consultation on
321. 11:36your eye bags or are interested in
322. 11:38receiving an upper or lower eyelid
323. 11:40blepharoplasty feel free to visit our
324. 11:42website or give our phone number a call
325. 11:44to make an appointment today i'm dr
326. 11:46michael chewell with prentie hills eye
327. 11:47care see you next time