Complaints regarding the periocular area, and in particular the under-eye, are commonplace in both surgical and non-surgical aesthetics consultations. Patients may describe either the changes in anatomy themselves (‘I don’t like my eye-bags’), or the associated inferred emotion (‘I feel like I look tired even when I’m well-rested’). The aetiology is often multi-factorial and hence assessment requires attention to the skin, soft tissues and deep facial anatomy.1,2
The under-eye anatomy and changes it undergoes during ageing are complex.3 The perception of eye-bags or dark circles around the eyes as an indicator of ageing/tiredness is pervasive across cultures and races.1,2
The demand for periocular rejuvenation is growing fast, with the 2023 national audit from the British Association of Aesthetic Plastic Surgeons showing blepharoplasty is the fourth most popular surgical procedure for…
