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Bags and Sagging Skin - What Can I Do to Fix This?

asked 1 year ago by Kari6842
Latest answer by David Mabrie, MD
Question viewed 1,164 times
Tags: age 25-34, cheeks, under eyes, female, sagging, comparison, flat, options

Hi. I am 29 years old. I have 3 children and i feel like i'm 19. My face however says something completely different. My cheeks are flat and my bags under my eyes are Horrible to say the least. I need help. I feel i am to young for a face lift but i need to do something and fast i will have no pictures of myself with my children if i don't fix this. Please help...

14 answers to Bags and Sagging Skin - What Can I Do to Fix This?

Filler to tear trough and cheeks may help the bags under the eyes.

Your bags do appear to be moderate to severe and it's possible that you may need surgical removal of the fat under your eyes for complete improvement. However many times I have treated someone with severe puffiness with fillers with great success. If you can find a skilled injector close to you it is definitely worth a try to see if the fillers can make the transition from your eyes to your cheeks smoother. Good luck in your search for information. see video

David Mabrie, MD
Bay Area Facial Plastic Surgeon

yourfaceinourhands.com

Under eye bags and flat cheeks

Bags underneath the eyelids at a younger age usually indicate either a genetic predisposition to puffy eyelids or allergies. Uncontrolled allergies can cause significant puffiness in the lower lids, which are best treated medically with nasal sprays and antihistamines, not surgery. If there are no allergies or the allergies are medically controlled and the puffiness still exists, then usually a transconjunctival blepharoplasty can be performed to remove fat pads underneath the... more

William Portuese, MD
Seattle Facial Plastic Surgeon

Lower eyelid bags-treatment

Based on your photos and your age, it appears you have excess fatty tissue in your lower eyelid area which is a genetic condition more than an aging issue. I would recommend repositioning the fat, not removing it, in order to recreate the smooth transition from your eyelid to your cheek area. I would also consider augmenting your cheek area with a small amount of fat which can be harvested from your abdomen. Consult with a board certified plastic surgeon for a more in depth... more

William Bruno, MD
Beverly Hills Plastic Surgeon

Lower eyelid fat bags and weak cheek bone structure

Judging from your photos you are an excellent candidate for a lower eyelid procedure (Blepharoplasty). This can be approached through an incision on the inside of the eyelid resulting in no visible scars. In situations like yours where there is also a weak cheek bone structure, a combination of fat repositioning and fat removal is indicated, so that your lower eyelids would not end up looking hollow. You would also benefit from enhancing your cheek volume, and this... more

Keith A. LaFerriere, MD
Springfield Facial Plastic Surgeon

Fat Transfer and Blepharoplasty for Midface Rejuvenation

I have reviewed your pictures and agree with your concerns. The lower eyelid bags are fatty deposits which are providing a "bulge" to your lower lid. A conservative removal of the lower eyelid fat will allow the lower lids to appear smoother, but not sunken. This can be achieved with a transconjunctival blepharoplasty which is performed without any visible incisions (all incisions made on the inside of the lower lid). With regard to your cheeks, I do... more

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon

Lower eye lid surgery would be best

Hi. Looking at your photographs I would think that the "bags" under your eyes bother you the most. It is usually caused by fat. It appears from your pictures that the bags are too large to be corrected by Restylane injections alone. If this is true the best treatment would be a Blepharoplasty ( lower eye lid surgery to remove the excess fat only). This will dramatically make you look more youthful. I think your cheeks fit your narrow face but if you want more fullness, I... more

Sheila Bond, MD
Montclair Plastic Surgeon

Cheek Implants and Transconjunctival Lower Blepharoplasty To Improve Tired Look

You are an excellent candidate for cheek implants and a transconjunctival (inside the lower eyelid incision) lower blepharoplasty. (fat removal only) You have no excessive skin, just lack of cheekbone prominences which magnifies the herniated lower eyelid fat. Both procedures are done without any external incisions as cheek implants are done from inside of the mouth and the fat removed from inside of the lower eyelid. These two procedures together will make for a non-tired look to your eye area. more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Your right

I think your personal asessment while a little harsh is basically correct. i also favor the transconj approach for fat removal and think it is your best choice as this really unrelated to age. as for your cheeks, sculptra is my first choice. my wife and i looked like that when our three kids were all under 3 (twins +1). if you can hang in there it gets easier and rest may not make you look better but you will definitely be better rested. good luck.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Eyelid surgery and cheek implants would improve your look

You have bags in your lower eyelids, relatively flat cheeks and a thin upper lip. If you had a lower eyelid surgery, Cheek Implants and filler or a lip implant for Lip Augmentation....this would address all of your concerns. You do no have evidence of excess skin, on the face, and as such are not a candidate for a Face Lift of any kind. Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Flat cheeks and bags under eyes.

These can be improved dramatically with cheek implants and removal of the lower eyelid bags, which can be done with th incision inside the eyelid.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

A minimally invasive lower eyelid "trans-conjunctival" blepharoplasty would be the best answer.

You have a very youthful face: Your problems are anatomy and not aging It appears that you have lower lid bags which are protruding beyond your skeletal rim The best and longest lasting and least expensive answer is removing the bags from behind the lid. this requires no outside incisions, no sutures, and typically heals in days. While you did not provide a "lateral" photo, it appears that you have an overbite and a chin which is weak. ... more

Nathan Mayl, MD
Fort Lauderdale Plastic Surgeon

You have a very thin face.

Congratulations on the family. You have been busy. Considering the demands on you, you look great! Surgery should not be your first option. Restylane and Perlane are very powerful and will make a fantastic difference for you. Please be certain that you see someone who does a lot of under eye filler. This treatment is a type of art form so don't just go to the nurse clinic down the street. So some homework and find the right cosmetic surgeon for... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower eyelid bags can be congenital.

Hi. I think you look just fine except for your bags, and these probably are not related to aging. We see this in teenagers. The simplest correction is with Restylane injections right under the bags. The filler must be done very skilfully, in tiny doses, deep under the muscle. It lasts a couple of years. Of course the bags can be fixed with a blepharoplasty, but at your age I would avoid surgery.

George J. Beraka, MD
Manhattan Plastic Surgeon

Bags Under Eyes

Dear Kari6842: Links and video provided under "more" below. Bags under the eyes are frequently caused by fullness of the lower eyelid fat pads. Blepharoplasty can help diminish these bags. Depending on the tightness of the eyelid, several methods are available (open blepharoplasty vs. transconjunctival blepharoplasty. Flatness of the cheeks can be addresses at the same time. Cheek implants can provide long lasting projection of the cheeks, or injectable fillers can provide... more