What Causes Eye Bags in a Young Man?

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

There is a thin membrane in the upper eyelid and the lower eyelid that keeps the eye socket fat back in the eye socket, where it should be. As we age, this membrane becomes attenuated [thinner] and allows the fat to bulge into the eyelids. This is usually the cause of the eye "bags". No some younger patients will have this unusual anatomy very early in life, likely as a congenital development. It is usually a hereditary phenomenon, but doesn't necessarily have to be. And a very... more