How to deal with excess fat in double eyelids

Generally, having excess fat in the double eyelids may be related to factors such as heredity, improper diet, unhealthy lifestyle habits, meibomian gland dysfunction, and hypothyroidism. It is recommended to seek timely medical advice and undergo treatments such as general therapy or medication under a physician's guidance. A detailed explanation is as follows:

1. Genetic Factors

Individuals with a family history of obesity-prone body types may carry obesity-related genes, leading to fat accumulation around the eyes. Treatment may involve upper eyelid fat removal surgery (upper blepharoplasty), in which an incision is made in the upper eyelid skin to remove the excess fat tissue, followed by wound suturing to improve the eye appearance. The general reference price for upper eyelid fat removal surgery is 3,000–8,000 yuan per session. Improvement is typically noticeable within 1–2 weeks after surgery, although symptoms such as swelling and pain may occur.

2. Improper Diet

Regular consumption of high-fat and greasy foods can increase overall body fat, including fat accumulation around the eyes. Laser therapy may be considered under a doctor's recommendation. This treatment uses photothermal dynamics to target deep skin layers, dissolving fat cells, which are then naturally metabolized and excreted from the body. The general reference price for laser therapy is 5,000–20,000 yuan per session, with visible improvement typically occurring within 1–2 weeks after treatment. However, symptoms such as skin redness, swelling, and pigmentation may appear.

3. Poor Lifestyle Habits

Regular late-night activities and irregular sleep patterns can impair fat metabolism around the eyes, slowing fat breakdown and causing fat accumulation on the eyelids. In such cases, full-incision double eyelid surgery (full blepharoplasty) might be recommended. This procedure removes excess fat and skin tissue to improve eye appearance. The general reference price for full blepharoplasty is 5,000–15,000 yuan per session, with noticeable improvement usually occurring 3–6 months after surgery. Symptoms such as pain and swelling may occur postoperatively.

4. Meibomian Gland Dysfunction

Meibomian gland dysfunction is commonly caused by abnormal secretion from the meibomian glands. Blockage of these glands affects fat metabolism and excretion, leading to fat accumulation around the eyes. Symptoms such as dry eyes, foreign body sensation, and fluctuating vision may also occur. Treatment may involve oral vitamin B12 tablets and eye drops such as sodium hyaluronate or polyvinyl alcohol, as directed by a physician.

5. Hypothyroidism

Hypothyroidism is usually caused by autoimmune diseases and other factors. Insufficient thyroid hormone secretion slows metabolism, resulting in fat accumulation. Commonly associated symptoms include bradycardia, memory loss, and low mood. Treatment may involve medications such as methimazole tablets, levothyroxine sodium tablets, and propranolol hydrochloride tablets, as directed by a physician.

Maintaining healthy lifestyle habits, engaging in moderate physical activity, eating a balanced diet, and avoiding high-fat, high-calorie foods can help promote blood circulation and fat metabolism.