How to remove fat granules on under-eye bags

Generally, "fatty granules" refer to milia. Milia on the eye bags may be caused by genetic factors, excessive sebum secretion, keratin accumulation, endocrine disorders, or blepharitis. They can be treated under medical guidance using methods such as laser surgery, chemical peels with fruit acids, radiofrequency therapy, or medication. Specific analyses are as follows:

1. Genetic Factors

Individual genetic traits can lead to different characteristics in the development of sebaceous glands around the eyes, making it easier for milia to form on the eye bags. It is important to maintain cleanliness and moderate moisturization of the skin around the eyes. Laser surgery under a doctor's guidance may also be considered. This treatment uses specific wavelengths of light energy that penetrate the skin’s surface to reach deeper layers, where thermal energy breaks down the trapped oils within the milia and promotes local blood circulation and metabolism, effectively removing them. The reference cost is typically 1,000–3,000 RMB per session. Noticeable improvement usually appears within 7–10 days, although side effects such as redness and pain may occur.

2. Excessive Sebum Secretion

The sebaceous glands around the eyes are highly active and produce excess oil. If not thoroughly cleaned, pores can become clogged, leading to milia formation on the eye bags. Daily use of facial cleansers suitable for sensitive skin, regular exfoliation, and maintaining清爽 (清爽 means fresh/clear) skin around the eyes are recommended. Under medical advice, chemical peels with fruit acids (glycolic acid) may be performed. This involves applying high-concentration fruit acids to the skin to promote shedding of dead skin cells and unclog pores, thereby improving milia caused by pore blockage. The reference price ranges from 2,000 to 4,000 RMB per session. Improvement is generally seen after 2–3 weeks, but risks include infection or allergic reactions.

3. Keratin Accumulation

Slowed skin metabolism around the eyes prevents normal shedding of keratinocytes, causing them to accumulate on the skin surface and contribute to milia formation on the eye bags. Using gentle exfoliating products—such as eye creams containing salicylic acid or fruit acids—can help. Additionally, radiofrequency therapy performed by professionals may be effective. This treatment uses thermal energy generated by high-frequency electromagnetic waves to stimulate collagen regeneration and facilitate the breakdown and absorption of milia. The typical reference cost is 1,000–3,000 RMB per session, with visible improvement usually appearing after 4–6 weeks. However, potential side effects include bleeding or infection.

4. Endocrine Disorders

Endocrine imbalances, possibly caused by poor diet or low immunity, can alter hormone levels in the body—for example, excessive androgen secretion—which stimulates sebaceous gland hyperplasia and leads to milia on the eye bags. This condition may be accompanied by symptoms such as menstrual irregularities and fatigue. Patients should follow medical advice and may take medications such as progesterone capsules, compound estradiol tablets, or spironolactone tablets to regulate hormonal balance.

5. Blepharitis

Blepharitis may result from熬夜 (staying up late) or overuse of the eyes, damaging the skin around the eyes and disrupting normal sebum secretion, which can trigger milia on the eye bags. Symptoms often include redness, swelling, and pain around the eyes. Under a doctor’s recommendation, patients may use medications such as tobramycin eye drops, chlortetracycline hydrochloride eye ointment, or cefradine granules to alleviate inflammation.

It is recommended to seek treatment at a reputable medical facility under the supervision of qualified professionals to ensure safety and effectiveness. In daily life, preventing ocular milia involves maintaining proper eye area hygiene and hydration, and avoiding overly oily cosmetics and skincare products.