Pouch in Corner of Eye - Treatment Options?

Question

I Have Developed a Pouch in the Corner of One Eye That my Mom Also Has. How Can This Be Treated? Is there a non surgical approach to a pouch increasing in size in my upper inner corner of one eye?

Toby Mayer, MD · Answer

Corner of eye "pouch" is probably a fat bag and can only be removed surgically. Sometimes, fillers in the hollow around them will lessen their appearance.

Steven Wallach, MD · Answer

A pouch in the eye lid suggests a fat pad,b ut I would have to evaluate to be sure. This is best treated by excision of the pocket.

Aaron Stone, MD · Answer

Without a photo or face to face examination it is impossible to know exactly what the problem is. I assume you are referring to the small bulge near the inner corner of the eye on the upper eyelid that appears as part of the aging process. This is due to weakening/sagging of supporting structures that then allows fat surrounding the eyeball to protrude causing the bulge. The treatment is removal of this small piece of fat during an upper eyelid blepharoplasty.

	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Anita Mandal, MD · Answer

The pouch in the inner corner of your upper eyelid is very likely a fat pad. Your eyeball is surrounded by orbital fat. As you age, the supportive ligaments that normally hold you fat in place begin to loosen, resulting in protrusion of the fat fad. So this is not new fat that is growing but the existing fat that is protruding. Eventually you may have the same problem with the other upper eyelid. The only effective treatment for this fat pad is and upper lid blepharoplasty which involved making a very fin incision hidden in your natural upper eyelid crease to access the fat pad and remove it. If there is excess skin of your upper eyelid, this would be removed at the same time. The sutures are typically removed in 3-5 days after surgery and the average patient has swelling and bruising most of which resolves with one week of surgery. The surgery of the upper eyelids is typically performed by me in an office setting under local anesthesia and takes about 30 minutes. My approach is the least invasive and thus has less recovery, faster healing and fewer risks.

Francisco Canales, MD · Answer

It sounds like you have a fat pocket in the upper inner eyelid that is visible on front view. Unfortunately, there is not a non-surgical treatment that I am aware of. An upper blepharoplasty should correct that "pouch." See the attached link of eyelid procedures. Sometimes you may see a person with a similar problem. Best of luck.

Pouch in Corner of Eye - Treatment Options?

Answers (5)

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