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Do I Need Surgery for This Type of Eyebags? (Photos)

asked 9 months ago by blueowl124
Latest answer by Francis R. Palmer, III, MD
Question viewed 112 times
Tags: female, Asian, options, puffiness

All my life I've had these eyebags that are almost non-existent when I do not smile/squint. They are dark under my eyes, but that is not a big problem since I can just put on concealer. I was just wondering if these "smile-only" bags are caused by hollowness, fat or muscle. What procedures should I get? (Preferably non-invasive, unless necessary). * Photos included

3 answers to Do I Need Surgery for This Type of Eyebags? (Photos)

+1

Do I Need Surgery for This Type of Eyebags?

No, absolutely not. These are not eye bags, of the lower eyelid but rather the normal shape of the lower eyelid muscles themselves.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Lower Eyelid Bags when Smiling

Hi blueowl124, Thank you for your question. Lower eyelid bags are commonly due to fat, skin, and muscle to varying degrees in each person. Eyelid bags may also be due to medical conditions, such as thyroid or allergies. Eyelid bags on smiling suggests possible muscle as main component to the bag. Options may possibly include conservative use of Botox or facial fillers. These are nonsurgical cosmetic options to improve the eye area & rejuvenate the face. However, only after a... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Lower Eyelid Bags vs. Muscle Hypertrophy

Judging from the position of your lower eyelid bulges (submitted photos) as well as your description of their appearance only during smiling, you are noticing your lower eyelid muscles (orbicularis oculi) in action. Their prominence, however, seems exaggerated by the presence of visible surface depressions (tear troughs) just beneath your bulges and in proximity to your nasofacial grooves (they're even present when not smiling). Surgery would not provide a good solution to your... more
Charles Gruenwald, MD

Baton Rouge Plastic Surgeon

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