A common problem, difficult to treat.
Lower eyelid "bags" are multifactorial. Causes are fat pockets, heredity, age, loose skin and tissues and discoloration from thin skin with hypervascularity, sun damage pigmentation and again, heredity.
Multiple surgical and non-surgical treatments may be indicated as with blepharoplasty and/or fat repositioning, filling hollows with fillers such as Juvederm, chemical peels and/or IPL/minimally ablative type laser peels, and finally various bleaching creams, sunblock and continued proper skin care.
As you had lower blepharoplasty in the past, one of the concequences can be a relative "hollow" from fat removal, in which case non-surgical treatment as with a filler can be a nice treatment.



