Eye Bag Removal in Spokane: Understanding the EnigmaLift Approach

Reviewed by Dr. Cameron Chesnut, Facial Plastic Surgeon
Under-eye bags are a common aesthetic concern that can affect individuals of all ages. While many seek non-invasive ways to reduce puffiness or discoloration, these approaches may offer only temporary relief.
For those with more prominent lower eyelid changes, surgical correction may provide a more effective and lasting solution.
This article explores the causes of under-eye bags, available treatment options, and the advanced surgical techniques used at Clinic 5C, including the scarless EnigmaLift approach performed by Dr. Cameron Chesnut.

What Causes Under-Eye Bags?
Under-eye bags can develop due to a range of factors including age-related changes, genetics, fluid retention, and lifestyle habits.
As skin and muscle support structures weaken, fat or fluid may shift or accumulate beneath the eyes, leading to a tired or puffy appearance.
In some individuals, lower eyelid changes are primarily structural, while in others, the concern is more cosmetic. Both scenarios are common and medically understood.
Temporary At-Home Relief
While no at-home remedy can eliminate under-eye bags permanently, some strategies may temporarily reduce their appearance:
- Cold compresses can constrict blood vessels and reduce swelling.
- Warm compresses may help with fluid movement.
- Hydration, sleep, and stress management support overall skin health.
- Cosmetic concealers can mask pigmentation or shadowing.
These solutions offer modest, short-term relief and are often used as part of daily skincare routines.
Non-Surgical Options for Mild Cases
Several non-surgical methods may help reduce the appearance of under-eye puffiness or hollowness, especially in early stages:
1. Topical Skincare
Products containing caffeine, peptides, or hyaluronic acid may reduce puffiness or improve texture. A dermatologist can recommend options tailored to individual skin types.
2. Lifestyle Adjustments
Improved sleep, hydration, nutrition, and screen-time habits may help reduce contributing factors such as fluid retention, eye strain, and inflammation.
3. Supplementation
Certain nutrients, including vitamin C, D, E, and omega-3 fatty acids, are involved in skin integrity. A functional medicine provider can assess deficiencies that may contribute to visible skin changes.
4. Non-Invasive Aesthetic Treatments
Options such as laser resurfacing or dermal fillers can soften the appearance of eye bags in select cases. These approaches are best suited for mild concerns and often require maintenance.

When Is Surgery Considered?
For more pronounced under-eye bags caused by excess fat, skin laxity, or structural changes, surgical correction may offer the most effective and lasting solution.
Lower eyelid surgery (blepharoplasty) can address these deeper causes when non-surgical options fall short.
Patients who may benefit from lower eyelid surgery often present with:
- Visible fat pads or volume shifts
- Skin laxity or excess tissue
- Eyelid retraction
- Deep tear troughs or volume loss around the mid face
A consultation with a facial plastic surgeon is essential to assess candidacy.
The EnigmaLift: Clinic 5C’s Scarless Lower Eyelid Approach
At Clinic 5C, lower eyelid surgery is performed using the EnigmaLift technique, developed and refined by Dr. Cameron Chesnut.
This approach prioritizes a scarless result, natural contour, and functional preservation.
Key features of the procedure include:
- No external incisions or stitches
- Internal fat repositioning to smooth the lid-cheek junction
- Use of fat for volume restoration when appropriate
- Supportive techniques to correct or prevent eyelid retraction
- Combining procedures (e.g. midface lift or laser resurfacing) when indicated
Performed under local or general anesthesia, the surgery is customized based on detailed facial assessment and surgical goals.
Recovery and Regenerative Support
Clinic 5C emphasizes not only the procedure itself, but also the recovery process. Dr. Chesnut and the Clinic 5C team incorporate regenerative medicine strategies that may support healing and optimize outcomes, including:
- Advanced skincare
- Growth factor therapies
- Postoperative laser protocols
Each recovery plan is personalized, with an emphasis on comfort and minimizing downtime.
Complementary Procedures
Patients frequently combine EnigmaLift with other enhancements to support facial harmony, including:
- EnigmaLift Midface Lift
- Brow lift
- Laser skin resurfacing
- Stem-cell-rich fat transfer
Treatment plans are developed collaboratively to align with each patient’s aesthetic goals.
Understanding Lower Eyelid Retraction
Lower eyelid retraction occurs when the lower eyelid is pulled downward, often exposing more of the sclera (white of the eye).
This can result from aging, anatomical changes, or previous surgery.
Correction involves meticulous adjustments to restore normal lid position and eye shape. These refinements require millimeter-level precision.
Why Choose Clinic 5C
Clinic 5C provides a comprehensive, integrative approach to facial surgery under the leadership of Dr. Cameron Chesnut.
His expertise in lower eyelid surgery is supported by advanced regenerative techniques, personalized planning, and a focus on natural results.
The clinic’s reputation for innovation and discretion attracts patients seeking subtle, refined improvement without signs of obvious intervention.
Consultation Process
During a consultation, Dr. Chesnut conducts a detailed evaluation of the periorbital area, eyelid support, and surrounding facial structures.
Recommendations may include surgical and/or non-surgical options, depending on findings and preferences.
Conclusion
While skincare and lifestyle strategies may provide temporary improvements for under-eye bags, surgical intervention remains the most definitive approach for individuals with structural concerns.
The EnigmaLift technique at Clinic 5C offers a modern, scarless solution, designed to restore a refreshed and balanced appearance.