How to reduce overly prominent infraorbital fat pads (eye bags)

Dec 15, 2021 Source: Cainiu Health
Dr. Cui Xin
Introduction
If the “sleeping silkworm” (a subtle, naturally occurring ridge beneath the lower eyelid) is small or moderately prominent, it can enhance the charm of your eyes and lend a playful, endearing appearance—making you seem more approachable. However, in some individuals, this ridge becomes excessively enlarged, resembling under-eye bags, which can convey an aged or puffy appearance. In such cases, corrective measures should be considered.

The “sleeping silkworm” eye makeup—referring to the naturally prominent or cosmetically enhanced ridge just below the lower eyelid—is widely regarded as aesthetically pleasing. Although it closely resembles under-eye bags, it actually enhances the three-dimensional appearance of the eyes. Some individuals are born with prominent sleeping silkworms; however, when excessively pronounced, they may compromise facial aesthetics. Consequently, many people opt for removal—typically via surgical excision at aesthetic clinics. So, how can an overly prominent sleeping silkworm be reduced?

How to Reduce an Overly Prominent Sleeping Silkworm

A moderately sized sleeping silkworm can enhance the charm and expressiveness of the eyes, lending a playful, youthful, and approachable appearance. However, when excessively enlarged, it may resemble under-eye bags—conveying signs of aging, fatigue, or facial swelling. In such cases, corrective intervention is advisable. Excessive prominence may be congenital or result from age-related laxity and ptosis of an originally attractive sleeping silkworm. Surgical reduction—specifically partial resection of the hypertrophied orbicularis oculi muscle—can effectively restore the desired contour and aesthetic appeal.

For women wishing to avoid surgical risks, botulinum toxin (Botox) injection offers a non-surgical alternative. By inducing temporary, functional atrophy of the overactive orbicularis oculi muscle, Botox safely reduces its volume and prominence—achieving a natural-looking refinement of the sleeping silkworm. This minimally invasive treatment is virtually painless, requires no downtime, and is increasingly favored by patients. Results typically last approximately six months.

We hope the above information is helpful. Wishing you a joyful and fulfilling life!