Under Eye Bags; Fluid Retention? Fat? Doctor Answers, Tips
Eye Bags Treatment: Q&A
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Under Eye Bags; Fluid Retention? Fat?

I am a 28 year old male and as the picture shows, I have fairly prominent eye bags that I have been trying to find a way to correct. I went to a Dr. and she said that there not caused by fat hernation, as I had previously thought, as that seems to be the most common cause of eye bags, but some sort of fluid retention. What solutions are available for eye bags that are due to fluid retention and not fat? What might be causing this problem in the first place? Thanks for your help!

5 Doctor Answers | Asked by joefromohio in Ohio
+3

Treatment of eyelid bags

Your posted photo corroborates your concerns and show 2 bulges on each lower eyelid. The upper bulge is usually the eyelid muscle and the lower bulge is usually fat around the eyeball that herniates into the lower lid. Blepharoplasty surgery thins the muscle and removes or repositions some of the fat. Your case is not the usual because in the photo the tissues look more swollen or edematous like they are filled with water. My lower eyelids look like this when my allergies act up but that is... more
+2

FAT PLUS by Villar

You do have herniated middle and medial fat pads. You also have an anatomical crease and possible muscle bulge. Fluid retention cannot be evaluated without a hands on examination. But all of these problems can be dealt with by a well trained surgeon. Best wishes. Knowledge is power. Luis F. Villar MD FACS see video
+2

Hands on examination is necessary.

It is often obvious in a photo to determine the source of the bulginess in the eyelid. In your case, however, I feel its difficult without visualizing the skin surface, and the palpating the give of the tissues, to properly address "fat or fluid". Although the culprit seems to mainly be lack of midface fat which exposes the orbital fat, some degree of fluid retention cannot be ruled out by this photo. I would recommend an in person consultation with a surgeon with expertise... more

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+2

Are my under eye bags fat or fluid retention?

I have performed eye lifts for over 20 years and lower eyelid bags are caused by: Fat tissue Malar bags Examination and palpation of the location of the bags will help identify the likely source of your bags. If you press on the bags and you feel a give, in the tissue, you are inside the eye socket and the bags are most likely fat which can be reduced with a lower eye lift or eyelid surgery. If, on the other hand, when you press on the bag you feel bone... more
+2

Eye bags are caused by a variety of things.

These are not caused by fluid retention. What we are looking at is the bone of the orbital rim draped by the thin lower eyelid tissue. You have a very prominent midface groove extending from the corner of the eye out to the side of the face. What you are missing is deep facial fat in the buccal fat space that helps to support this area. The best treatment for this is not lower eyelid surgery or midface lifting. The best treatment is non-surgical in the form of... more
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