Genetic Undereye Bags - Only 22 Y.o.? (photo) Doctor Answers, Tips
Eye Bags Treatment: Q&A
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Genetic Undereye Bags - Only 22 Y.o.? (photo)

I am 22 years old and have been cursed with the genetic fatty patches underneath my eyes - causing pretty bag bags (for my age). They get worse when my allergies act up and are pretty impossible to conceal. I am constantly asked if I am tired or sick, and just feel as if they are a burden. I've been doing some research on blepharoplasty, and was curious whether or not you'd recommend that for someone my age. I would love to hear your opinion on whether this would be an option for me! Thanks so much.

10 Doctor Answers | Asked by srowan08
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Temporary and Permanent Treatments for Eye Bags

I know how frustrating it is to have puffy bags under the eyes and it’s certainly understandable why you’re seeking advice. I can tell you that I’ve had patients who are considerably younger. Our youngest patient was actually 14 years old, who was teased at school because he had very big bags underneath the eyes. A lot of our patients come to us after they have tried all kinds of things such as topicals or creams that are guaranteed to get rid of puffy bags but never actually work... more
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Tired eyes

First of all it is important to control your allergies with nasal sprays , antihistamines and allergy testing if the medications don't help. If your allergies are under control and the bags are still present, a conservative transconjunctival lower blepharoplasty can be performed to get rids of the bags
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Blepharoplasty, young age

Blepharoplasty can be a useful procedure for any age starting in the teenage years. Since the results last for many years it does not pay to wait. Fillers or fat injections below the lids are other less aggressive options. Please consult with a Board Certified Plastic Surgeon prior to making any treatment decisions.

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Filler or Fat Grafting to Tear Trough

Temporary fillers like Restylane could be used to give an idea of the type of improvement to be expected. Facial fat grafting can be used as well in the hand of an experienced surgeon.
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Lower Eyelid Bags- Treatment

Dear srowan08, I agree with some of the other posts that filler can somewhat camouflage the bulging of fat through the lower eyelid by filling in the hollow below it. However, the camouflaging effect will mainly be present only while you are not making any facial expression. When you do make facial expressions the fat will still bulge and be noticeable. I tend to be very conservative in my treatment of patients and do not push surgery, however, the only way to completely rid yourself of... more
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Eye bags at a young age

There is no reason you can't have a blepharoplasty at your age, given that the bags aren't going anywhere! However, if you're busy or want to try a "trial run" first, fillers like Restylane or Radiesse can tide you over until you're ready for a surgical alternative. Just make sure you seek the help of an experienced physician, as injections around the eyes are tecnically challenging and best left to experts.
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Restylane for Eye Bags

Hi SRowan. At your age, we would likely suggest Restylane. Injecting the under eye area with Restylane can go a long way toward addressing your concern. It is much more affordable than surgery and lasts up to 1 year.
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Fillers would work or....

Fillers would be a good first line option for you [by an experienced injector]. If you wanted something more permanent, a lower lid blepharoplasty with fat repositioning would be my recommendation. This would reposition the fat from the bulge above into the hollow just below [tear trough] and minimize chance of lower eyelid hollowing as you get older.
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Fillers are definitely they way to help this for now.

However, and this is the rub, it must be done by a very experienced injector. Under eye treatment is really an advanced technique. Artistic ability and the ability to adjust the service with hyaluronidase if necessary is critical.
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Lower blepharoplasty for under eye bags at age 22

When people have bags under the eyes from hereditary causes, it frequently will appear in the 20's and sometimes even earlier. Your options would be to have lower blepharoplasty to remove some of the fat, or you could have an injection with a filler, like Restylane, below the bags to conceal them.
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