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How Do I Get Rid of Eye Bags?

asked 4 years ago by anon
Latest answer by E. Ronald Finger, MD
Question viewed 97,401 times
Tags: eyes, dark circles, eye bags, puffy eyes

my under eye bags make me look tired at all times. Is eyelid surgery the only way I can get rid of eye bags!

30 answers to How Do I Get Rid of Eye Bags?

+15

Getting Rid of Eye Bags

Lower Eyelid Fat Pads or "Bags" A very common aging change in the lower eyelids is the development of 'bags,' which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon
+6

Eye bags

There are many causes for eye bags. Several things are often occurring at once. Over time, the orbital septum weakens, and fat bulges against this septum. This is seen as a bulge below the eyes. It is usually treated by fat repositioning, and sometimes by slight reduction of the fat, often from inside the eyelid (transconjunctival). Hollowness develops around the fat bulge above, due to hollowing of the facial fat. We often replace the missing fat. In our practice... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+5

Eye bags after a full night's sleep

Eye bags are the appearance of the lower eyelid fat pads. As we age and lose facial volume, the bags are revealed. In the past, the only way to get rid of the eyebags was by blepharoplasty, lower eyelid surgery. The surgery was performed usually from inside the eyelid (transconjunctival blepharoplasty) or through an incision in the skin just below the lash line. The excess fat was removed. In the past 6-7 years, our philosophy about the lower eyelids has evolved. We now preserve the... more
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+4

Lower blepharoplasty will remove eye bags

Lower eyelid bags are caused by protrusion of fat against the lower eyelid skin and laxity of the lower eyelid supporting structures. Lower blepahroplasty is required to remove eye bags. Ignore the common internet recommendations such as cucumber slices, tea bags, and preparation H--they don't work. External laser resurfacing and external laser treatments will not improve eye bags. A laser blepharoplasty is very effective. Mlodern techniques are: Transconjunctival lower blepahroplasty... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+4

This is a complicated problem with many solutions, none...

This is a complicated problem with many solutions, none of which are perfect in isolation. Three main problems that cause eye bags: Fullness caused by "pseudoherniation" (bulging) of normal orbital fat that surrounds and protects the eyeball or just below this area, a relative hollow that develops and is aggravated by gravitational descent of cheek fat Loose skin and muscle surrounding from age, heredity and environmental factors (smoking) Pigmentary issues related to... more
David J. Levens, MD

Coral Springs Plastic Surgeon
+2

Getting rid of eye bags

"You look so tired!" That's what a lot people hear who have some bulging in their lower lids, or hanging skin in the upper lids. "Eye bags" usually refers to the bulging excess fat in the lower lids. While you will be promised the moon and stars by certain creams, lotions and potions, I have not seen any promising results to improve bulging lower lids with topical treatments. There are three fat pads in the lower lids, each of which can bulge out and make you look... more
Adam Rubinstein, MD

Miami Plastic Surgeon
+2

Treatment of lower eye bags

Treatment of lower eyelid bags used to be blepharoplasty (eyelid surgery ) alone. With increased understanding of the aging process, we know that 'bags' of the lower lids can be caused by any of a number of anatomic issues. At the same time, our ability to treat this area has expanded with the addition of newer surgical procedures (fat sparing blepharoplasty, midface lifts, fat transfer, to a new a few) and new non-surgical procedures (injectables, peels, etc). An experienced surgeon... more
Sam Most, MD

Bay Area Facial Plastic Surgeon
+2

Proper lower eyelid surgery can remove the lower eyelid bags

Proper lower eyelid surgery can remove the lower eyelid bags. Most often the lower eyelid puffiness is caused by a false hernia called pseudoherniation of the lower eyelid fat. Removing too much of this tissue during a lower eyelid surgery called a blepharoplasty can create a hollowed look. However, removing the right amount can lead to a youthful lower eyelid. Often this can be done with no visible incision. Also, if you have a hollowed area near the puffiness that some people call a tear... more
Scott Trimas, MD

Jacksonville Facial Plastic Surgeon
+2

The goal is for the lower eyelid and the cheek to blend smoothly

Hi! Injecting small amounts of Restylane DEEPLY under the bags helps to create this smooth plane. In our plastic surgery practice in New York City, we do a lot of this. Fat injections can achieve a similar result and last much longer. Well-performed eyelid surgery is the gold standard. The fat in the bags must be REPOSITIONED. If the fat is just removed, you can look hollow. Also the lower eyelids are supported and tightened at the same time. The results of this... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+2

Get rid of eye bags with surgery or fillers

If you have lower eyelid fat bags that bulge significantly out and create a tired look, surgery might be your best bet depending on a careful analysis of your eyelid anatomy and laxity. The fat can be conservatively removed, it can be shrunk with a cautery device, or it can be transposed down to fill in a tear trough deformity below the bulge. However, lower eyelid surgery in my practice has become relatively rare because so much can be done by adding Restylane into the tear trough to... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Eye bags are caused by fat accumulation in three little compartments

Eye bags are caused by fat accumulation in three little compartments in the lower lids and two in the upper lids. This is diet-resistant fat, which means it is not related to weight gain or loss. Fat pads in the lower lids are removed through an incision on the inside of the lower lids and through an incision along the crease of the upper lids. Fat is not removed with liposuction but by teasing it out and cauterizing it to make sure it does not bleed.
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

What to do about lower eyelid bags?

The so called "bags" under one's lower eyelids are actually a pseudo-hernias of the orbital fat protruding below the lower eyelids. Added to this problem is the loss of fat over the bony rim (infraorbital rim) just below the mentioned fat pads that occurs with increasing age. As a youth, the cheek fills in the hollow under the eyelids, but as the fat diminishes, the hollow becomes more concave causing a shadow, and this makes one look tired and older. This tendency to have... more
E. Ronald Finger, MD

Savannah Plastic Surgeon
+1

Removing under eye bags puffiness

Surgery is the most effective way of treating the puffiness or the bags of the lower lids. I usually perform this procedure without any scars since the operation I perform is through the inside of the eyelid. There is also no sutures needed at all. The recovery is fast. This procedure costs about $2500
Afshin Farzadmehr, MD

Los Angeles Dermatologist
+1

Treat the causes of the "tired eyes"

There are many reasons for the "tired eyes" look and it is important to understand the anatomy of the area first to decide how best to treat the area. In simple terms, the lower lid has skin, muscle, fat, septum, and the cheek area. A good examination of the area will reveal which or all of these factors are causing the "bags" and the tired look. If it is minimal, sometimes a filler in the "groove" can smooth out the bags, and can be... more
Charles K. Lee, MD

San Francisco Plastic Surgeon

www.lplasticsurgery.com

+1

Eyelid Surgery the only permanent solution to eye bags

Yes, the bags are caused by weakening of the eyelid tissues allowing the fat to sag.  Lower Eyelid Surgery removes the sagging fat and smoothes out the lower eyelid contours.  Fillers will only increase the volume and make the eyelid(s) mor puffy IMHO.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Eye Bags

There may be several options available to correct your concerns with your lower eyelids. It is best to have a consultation with a board certified facial plastic surgeon or plastic surgeon to determine which available procedure would best address your individual concerns. I may recommend a filler or fat transfer for one patient, and surgery for another. There are too many variable to answer your question with out an evaluation.
Michael Sullivan, MD

Columbus Facial Plastic Surgeon
+1

How to get rid of tired eyes- #eyelidsurgery, #restylane, #botox, #teartrough, #eyebags, #tiredeyes, #fatgrafting

Thank you for your Question The change in shape under the eyes- removal of 'eyebags' can be done with a Non- Surgical approach using Restylane, or performing surgery on the lower eyelid. The goal of both procedures is to fill in the volume that is lost under the eyes (correcting the hollow) which eliminates the shadow that is produced by the hollow - making the eyes appear tired.  The Non-Surgical approach is done in the office and can give some individuals dramatic... more
Trevor M. Born, MD

Toronto Plastic Surgeon
+1

Eye bags treatment

Eye bags are orbital fat that have lost their support and are visible. To treat the cause, need to replace the volume deficiency. This can be fillers, fat transfer or silicone implants. Sometimes, one can open the bags and reposition the fat under hollow areas such as tear trough. 
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

Eye bags

There is no standard treatment for this. The area around the eye is small yet it is very complex. There are  a lot of patients that request their bags to be removed when no bags are present, but it is a problem with the cheek having changed position, or being hollowed from having too little fat. I recommend you consult with an experienced physician and get an accurate assessment. Best of luck Dr Siegel
Michel Siegel, MD

Houston Facial Plastic Surgeon
+1

Only surgery will cure bags of the lower lids.

Bags under the lower lids are the product of herniation of fat through a weak septum, excess skin, and possibly drooping muscle. An eyelid operation corrects all of these problems. It is straightforward with predictably good results. The procedure can be performed with some sedation and local anesthesia, but most patients want to be put to sleep.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Getting rid of excess bags in your eyes

   Getting rid of "bags" from you eyes is done by getting rid of excess fat. You can get rid of fat in your lower eyelid by having surgery and removing the fat. This can be done either from the inside of your eye( transconjuctival approach) or by making an incision on the outside of the eye just below the eye lashes. Determining the experience of the surgeon either solution is OK. Good Luck
Carlos Wolf, MD

Miami Facial Plastic Surgeon
+1

Getting rid of bags under the eyes

In my practice, I utilize two procedures to correct eye bags. One of the procedures involves some reduction of the fatty content around the eye combined with tightening and lasering the lower eyelid skin. Another procedure I use is the cheek lift which, in many faces, gives very nice improvement to bags beneath the eyes while also diminishing the depth of the nasolabial fold (this is a form a a mini facelift). Fat in this procedure may or may not be removed depending on your circumstances.... more
Deason Dunagan, MD

Huntsville Plastic Surgeon
+1

Eyelid bags best removed through surgery

The best way to remove excess fat from eyelid bags is to have surgery. Sometimes you can camouflage them a bit with facial fillers, but it is not the solution.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

For bags under your eyes, consult with a Cosmetic Surgeon

It sounds like the bags under your eyes are there no matter how much sleep you get. This is commonly referred to as "lower eyelid fat prolapse" which means the fat around your eye has come forward and created the effect of bags under the eyes. As a Cosmetic Oculofacial Plastic Surgeon (specializing in Eyelid and Facelift Surgery), I routinely perform procedures to help people with this problem. There are several ways to manage this problem so do your research to find a Cosmetic... more
Amiya Prasad, MD

New York Oculoplastic Surgeon
+1

Nonsurgical Rejuvenation of the Lower Eyelids

In Western society, we spend the overwhelming bulk of our time when we relate to others concentrating on their eyes, so much so in fact that when we come to an agreement after negotiations, we refer to it as "seeing eye to eye." The consequence of this disproportionate attention to our eyes is that when the regions surrounding them look great, we look great, and when they look tired, swollen, baggy, crinkled, wrinkled and ringed by dark circles, we appear exhausted, worn out,... more
Nelson L. Novick, MD

New York Dermatologic Surgeon
+1

Eyelid Bags Be Gone!

The only truly effective, long-lasting way to remove eyelid "bags" is surgery. Your Board Certified Plastic Surgeon will help you decide on the BEST approach to achieving your goals (skin removal along with fat excision or repositioning, scar placement inside or outside lid, etc.). Every patient is an individual and has individual needs and goals, but I prefer, if you only have bags and no excess skin, to perform a transconjuntival preseptal fat repositioning with arcus marginalis... more
John Philip Connors III, MD

Atlanta Plastic Surgeon
+1

Surgical and non surgical treatments for eyelid bags

Infraorbital dark circles giving you the tired look can be caused by a shadow effect from either lower lid fullness ("bags") and/or skin laxity. Increased skin pigmentation can also cause the dark circles, in which topical agents such as hydroquinone and retinoic acid can be used to lighten the skin. If you have lower lid fullness or bags from pseudo fat herniation, then you can consider either surgery or a filler injection. The goal is to recreate the smooth contour of the... more
Corey S. Maas, MD

San Francisco Facial Plastic Surgeon
+1

How to get rid of eyelid bags

In the past, the only option for getting rid of eyelid bags was lower blepharoplasty. However, as our understanding of causes for lower eyelid fullness has increase, options of treatment have expanded. There are three main causes for lower eyelid bags: 1. Orbit fat bulging behind the eyelid skin. 2. Descent of mid-face fat (tear trough deformity) giving the optical illusion of bulging eyelid fat. 3. A combination of above mentioned causes. Treatment needs to be tailored... more
Maurice M. Khosh, MD

New York Facial Plastic Surgeon
+1

Eye bags: A lower eyelid blepharoplasty or fillers can help the situation

You can remove the bags under your eyes through a lower eyelid blepharoplasty through incisions under or inside your eyes. Skin can also be removed. This is the traditional method of doing this and improving the lower eyelid area. You can also fill in the volume deficiency with fillers or some other volume enhancing method. Your lower eyelid has the baggy appearance often from the volume loss that occurs in the cheek area where the loss reveals the infraorbital rim. Replacing this volume can... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Although this is most often treated with surgery (called...

Although this is most often treated with surgery (called a blepharoplasty), no two cases are identical, and for some a nonsurgical option may be worthwhile. The bags are bulging fat, normally held back in the eye socket. The shadow created along the "tear trough" is what contributes to the problem. Most surgeons remove the bags by taking out the fat, but as we get older we lose fat around the eyes, and so it may actually accelerate the aging process in the end. Better to reposition... more
Richard Baxter, MD

Seattle Plastic Surgeon

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