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On the basis of color of the skin, under-eye bags are categorized into three types ? black, red and brown.
At Theory Clinic, we further categorize black eye bags into two sub-types ? with puffs under eyes and without puffs under eyes.
Determining the eye bag type is very important for both selecting the best treatment method and making the best treatment plan for each patient.
Fat present beneath the skin increases and causes under-eye shadows
This kind of eye bag causes dark lines under the eyes, which makes your cheeks look saggy.
- The fat surrounding the eye balls is called "orbital fat pad."
With age, the fat pad descends and inflates the under-eye skin, thereby, causing dark shadows, also referred to as black eye bags.
Fat pad inflation also happens in some teenagers. Black eye bags are mainly formed in people who have narrow orbit (the cavity in the skull bone, which contains the eyeballs), dented cheekbones and excess fat pad. 
- Press the under-eye bag with a small stick such as a pen. If the dark line disappears with pressure, then, you probably have “black type” eye bags.
The skin around the eyes wrinkles and causes under-eye shadows
There are no noticeable puffs; however, the whole under-eye area looks dull.
- Usually no or slight fat pad inflation is found in the black eye bags without puffs. Dark shadows are often caused by dents and shriveled skin under the eyes caused due to aging.
- Look up to the overhead lighting and then look in a mirror. If the under eye shadow lightens, then, you probably have this type of eye bag.
Compressed orbicular muscle looks red through the skin.
The red eye bags usually appear under the corner of the eyes. If you pull the skin, the red color becomes deeper.
- Due to poor blood circulation or fat pad inflation, the orbicular muscle is compressed and looks red through the skin. This is the main cause of red eye bags.
- Place your finger on the upper cheek and pull the under-eye skin. If the red color becomes deeper, you probably have this type of eye bag.
Caused by pigmentation and unhealthy living habits
Brown eye bags that are caused by pigmentation spread over a wide area under the eyes. When you pull the skin, the color lightens. In many cases, pigmentation occurs on the upper eyelids, which makes the whole eye area look dull.
- Pigmentation gradually occurs beneath the skin from causes such as UV tanning, dryness and use of makeup.
Brown eye bags are mainly formed because of the pigmentation. Wrinkles under the eyes also cause brownish shadows. - Look up to the ceiling and then look in a mirror. If the eye bags do not look different from when you look directly into the mirror, you probably have brown eye bags.
Click the box of your eye bag type to know the best treatment method.
Orbital fat pad inflation causes under-eye puffiness, which causes dark shadows or in other words black eye bags.
The best treatment for this type of eye bags is Degreasing and Lipo Transfer that flattens the under-eye area.
Hyaluronic Acid Injection / Fat Injection
Hyaluronic Acid Injection / Fat Injection
See more treated cases
Black eye bags with no or slight fat pad inflation are usually formed because the whole under-eye area is dented.
Injecting hyaluronic acid or fat fills the dented area, thereby, removing the eye bags.
Red eye bags are always accompanied by puffiness under the eyes due to the fat pad inflation.
Degreasing together with lipo transfer prevents the muscles from being pushed out by the orbital fat pad.
Hyaluronic acid injection or laser treatment alone does not improve the symptoms of red eye bags.
Brown eye bags are caused by melanin deposition in the skin.
The treatment is to promote the elimination of melanin pigment as well as to prevent the production of more melanin. Avoiding suntan and skin irritation, taking vitamin C and using external medication are all important.
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