I Am 20 and Have Enormous Puffy Bags Under my Eyes. What Kind of Surgery Should I Get?

asked 1 year ago by GeorgiaSmith
Latest answer by E. Ronald Finger, MD
Question viewed 1,734 times
Tags: age 18-24, female, dark circles, options, puffy eyes

I am only 20 and I have always had horrible dark circles under my eyes. Since 18 I noticed that the dark circles were turning into bags and they are only getting worse, rounder and fattier.My mums family all have horrible big fatty sacks under their eyes. Everybody thinks I am tired when im not and lately I honestly feel like I could pass for 35. I also have bad allergies which make them a lot worse. I am depressed and I just want to look my age. Please help me.

11 answers to I Am 20 and Have Enormous Puffy Bags Under my Eyes. What Kind of Surgery Should I Get?

Enormous Puffy Bags under Eyes and Dark Circles requires surgery for effective removal

Even though you are young, surgery is the most effective solution for bags and dark circles under the eyes. Especially in a younger person you want conservative safe surgery. Your procedure should be done through a Transconjunctival incision inside the eyelid to avoid a visible scar and avoid a change in your eyelid shape that can happen when an external Blepharopolasty incision is made. The transconjunctival approach avoids removing skin. In addition the fat causing the bags can... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

Bags under the eyes at 20

If they are truly enormous at age 20, then this is a hereditary problem and you may have undeveloped bony structure under the lower lids, called the infraorbital rims. The bags, which are pseudo-herniated fat pads can be reduced through an incision inside of the lower lids, and it may be necessary to insert a silicone implant as well. This is very successful in the right patient done by someone who is experienced in the procedure. The implants must be tailored to the patient. Alternative... more

E. Ronald Finger, MD
Savannah Plastic Surgeon

Puffy bags in 20 year old

Yes, you DO have puffy bags which could be treated surgically. But surgery is not always the right answer and some times there are complications. I think it would be most prudent for you to consider an under eye filler for now. This may give you the results you are seeking and successfully delay surgery for years.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

Under eye bags at 20

Yes, you do have those bags, notwithstanding your youth. I would recommend first treating you with Restylane to improve your appearance and also suggest that you see an allergist for control of the allergic rhinitis and factors which can certainly contribute to the bags. Of you smok, please consider stopping as smoking worsens the condition and contributes to premature aging of the face.

Robert L. Kraft, MD
New York Plastic Surgeon

Eyelid Circles

You appear from your photo to have excess fat from around your eye which has started to push and hang forward. Although it may seem like a lot, a lower eyelid is a long lasting solution to this problem. As described, the incision can be made on the inside of your lid preventing any scar. You may need some filler/fat as well but I would need to see your entire face for that evaluation. Find someone you trust. Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon

Lower eyelid surgery for bags

I'm sure that your mother would not have passed on her 'puffy eyelid' gene to you if she could have avoided it. You are not too young to have lower eyelid surgery to either remove excess fat or reposition the fat into the crease under the lower eyelid. If you would like to try and mask your bags and avoid having surgery, you can try hyaluronic acid injections such as Restylane or Juvederm. These can fill out the crease and make the bags not look so bad. These are not... more

James McMahan, MD
Columbus Plastic Surgeon

Try fillers first.

Yes you do have lower eyelid bags. However, if is very likely that fillers will make a huge difference. This treatment can last well over a year, so it is reasonable to start with lower eyelid filler. You may be able to avoid having lower eyelid surgery for quite some time. On the other hand, based on a personal examination, you might be a better candidate for lower eyelid surgery. In that case, avoid surgery performed through the skin. It is much better... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Puffy bags under eyes

You look like you may benefit from lower eyelid blepharoplasty - the fat can be removed from the inside of the eyelid so that you would not have a scar. You are young and do not have excess skin in the lower eyelids so you would not need to have an external scar for skin excision. At the same time, you would want to help control your allergies.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon

Lower eyelid surgery on young adults.

Judging by your photos, you appear to have a condition called hereditary fat pseudoherniation. You would be an excellent candidate for a trasnconjunctival lower blepharoplasty where the fat is permanently removed from an incision behind your lower eyelid. No visible scar results from that procedure. It is extremely effective for younger folks like yourself and I have personally performed the procedure on 18 year olds. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Herniated fat in the lower lids is easily removed by lower eyelid surgery.

From you pictures you look like a good candidate for eyelid surgery. Since you are young, transconjunctival excision through the inside of the lid is an option. This avoids an external scar which is not usually a significant issue but you do have the luxury of choice.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Treating lower eyelid puffiness

The eyeball sits in a bone walled socket & is cushioned by surrounding fat. This prevents the eyeball from sustaining damage by striking the bone side walls. The lower eyelid has a 3 layer construction: 1-the outermost layer consists of skin & eye closing muscle 2-the middle layer consists of cartilage, eyelid lowering muscle & a thin membrane that extends between the cartilage & the outer lower bone edge of the eye socket 3-the innermost layer consists of the... more