The first signs of aging can be seen around the eyes. The skin of the eyelid is the thinnest skin of the body and since this skin is very mobile because of the muscles attached to it, wrinkles and hanging start to be seen on this skin.

Crow’s feet are a good example of this deformity. Eye bagging occurs with a slightly different mechanism. This situation occurs when the muscles supporting eyelids are weakened. There are no supporting muscles at the edge of the eyes and nose, so tear trough occurs when they go down in line with gravity. The stance of the eye, which is higher than the inner part of the eye, comes down with aging and gives a sad and tired appearance.
As a first stage, if crow’s feet are seen on the patient, this can be treated with just botox treatment. But if the bagging is started, these bags should be removed with an incision made inside or outside of the eyelid which is called lower eyelid blepharoplasty. Due to fixing tear trough fat injection can be applied and the treatment can be finalized by removing excess skins. The side of the eye below is fixed by hanging up with procedures called canthopexy or canthoplasty.
The bruises on the lower eyelid are slightly different. This situation can be even seen in young patients and the reason for this situation is due to structural factors. As it is known, fatigue, stress, and low-quality life are not such reasons.
The skin of the lower eyelid is the thinnest skin of our body as mentioned before. For this reason, bruises on the lower eyelid occur when the small blood vessels, or capillaries, beneath the skin break, and blood leaks into the surrounding tissue. This situation can also be addressed by various treatments. The most commonly used treatments are lipofilling, peeling, dermabrasion, and laser applications. After a detailed examination with a plastic surgeon, patients can use a handheld roller device covered in microneedles, such as a derma roller, several times a week at home to address this problem. This treatment can provide collagen synthesis and thickening of the skin in the lower eyelid.