How Do I Get Rid of my Lower Eyelid Puffiness, Which is Due to Loose Skin, Nonsurgically?

95% of the patients I see with dark circles and bags under the eyes are improved with fillers to the tear trough and cheek area. Only occasionally do patients have true fat pads that can only be treated surgically. Puffiness may be improved with Restylane, Perlane, or Radiesse placed under the eyes. Treatments are maintained at 6 month intervals. Each time it is done, there is some build-up of the patients own collagen and thus a cumulative effect. Good luck in your... more

When young patients seek my advice regarding lower eyelid bags, it rarely is due to "bags", but is usually due to an anatomic imbalance called a "Negative Vector Orbit." Patients with this condition describe themselves as having "bags" since they were very young, and that the bags are worsening with time. The anatomic finding is usually an underformed (hypoplastic) cheek bone under the eye giving you a "prominent eye" appearance (the... more

Puffiness and dark circles under the eyes is usually not due to excess skin. Swelling is generally due to bulging fat pockets which require surgery for removal or repositioning. The dark circles are now frequently referred to as 'tear trough deformities.' These can be successfully treated nonsurgically with hyaluronic acid injections such as Restylane and Juvederm. The correction with injections are temporary but the results can last up to a year and the price... more