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!
Under Eye Bags; Fluid Retention? Fat?
Doctor Answers 14
I hope you find this helpful.
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 in surgery and fillers.
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 hyaluronic acid fillers, specifically treatment with Restylane and Perlane. The treatment will last 1-2 years provide you get enough volume. You need to find a surgeon who does a lot of this sort of treatment. The liquid face lift website might help you identify someone in your area who can help you with this.
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This is best addressed with lower lid blepharoplasty and or fat redistribution. It needs to be done very conservatively given your young age.
On the cheeks you have malar mounds and for the best results, these should be addressed at the same time. I have had success using my RESET laser skin resurfacing technique to help improve malar mounds and lower eyelid festoons.
Hope this was helpful.
Under eye bags
These alternative options include fillers when there is volume loss or redistribution and descent. Fillers need to be carefully placed in this area by somebody with experience and expertise. Read: do not go to just anybody offering a deal for this type of filler.
During your consultation, your surgeon should address all of the factors contributing to your under eye bags. Fluid, muscle, and fat, whether it is too much, too little, or just being in the wrong spot, should all be addressed during this evaluation.
To guarantee you're receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
Eye Bags Treatment
Under Eye Bags
All the Best,
A. Dean Jabs M.D., Ph.D.
Board Certified Plastic Surgeon
Bethesda MD/McLean VA
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.