First of all, in most cases it is not the wrinkles that increase, but rather the wrinkles that remain. The purpose of external eye bag removal is to remove the excess skin, and many candidates believe that once the skin is removed, the wrinkles are naturally less, which is actually a misconception in itself. As soon as we tighten the skin in our lives, the wrinkles are naturally reduced. But can this be done in surgery? Naturally, no. In the actual eye bag surgery, only the skin is properly removed and the fine lines under the eyes, are still there. During eye bag surgery, we do a peel, and after the excess skin is removed and stitched, the stitches actually heal the skin and the underlying facial expression muscles and orbicularis oculi muscles tightly together, and as the scar softens and the muscles move after the surgery, wrinkles are still formed. Crow’s feet, for example, are wrinkles caused by facial movement, and they cannot be removed by eye bag surgery. As for what causes the increase in eye wrinkles, it depends on the specific situation, such as whether the skin is thinning further, whether the postoperative care is proper, etc. Personally, I do not recommend surgery if this problem comes to me. Often there are skin thickening options available, such as trying a hydrafacial with collagen to thicken the skin scaffolding. Also if the dermatological approach doesn’t work, you can try a thin layer of fatty gel, after the padding you will see a big improvement in the local area, the fine lines will decrease and the skin thickness will increase.