What is the Best Treatment for Under Eye Bags and Discoloration?

Doctor Answers (5)

Under eye discoloration

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Skin discoloration on the lower lids cannot be treated other than to be camouflaged with make-up.  The fat bags  and the shadow effect from the bags, are both corrected with a lower blepharoplasty thru an incision on the inside of the lower lids.  Any excess skin is removed by a pinch technique along the lash line on the outside of the lid.  This incision is closed with tissue glue


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Lower Eyelid Fat Bags/ Discoloration

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Your question is very common but impossible to address with any specifics without  knowing your age, ethnicity and without seeing photos. As a general rule the first step will be a lower blepharoplasty without fat removal, repositioning of the fat back beneath the eye and most importantly blending of the lower eyelid- cheek junction and addressing the tear trough area if indicated. Lastly, redraping of the skin- muscle tissue and tightening of the lower lid muscle. Smoothing the hill- valley- hill effect should improve the dark circles unless they are longstanding. In this case the skin will need treatment for hyperpigmentation with a chemical peel or laser resurfacing.

Paul S. Howard, MD
Birmingham Plastic Surgeon
5.0 out of 5 stars 7 reviews

What is the Best Treatment for Under Eye Bags and Discoloration?

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 Photos would help in the evaluation but if true lower eyelid bags exist...this is due to herniated fat in the lower eyelids that can only be treated with a lower eyelid surgery.  Fillers hide the edge of the fat and will not reduce the fat volume in the eyelids.  Discolration maybe a shadow effect from the fat bulges, excess pigment or increased veins within the thin lower eyeliod skin.  The exact nature of the discoloration will dicatate the treatment.  Lower eyelid surgery for shadowing, lower eyelid peel for pigment and treatment of allergies for increased vein size (termed "allergic shinners").  Hope this helps.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

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Treatment of lower eyelid bags and discoloration

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It would help to see a picture, but here are some general principles.  If the under eye bags get worse when you gently press on the eyeball via the upper eyelid, then they are related to forward protrusion of the eyelid fat compartments.  These can be approached either through a transconjuctival incision within the eyelid or externally through an incision beneath the lashes.  Depending on the anatomy the fat can be either sculpted or repositioned

If the lower lid puffiness is more superficial, it will not respond to pressure via the upper eyelid.  This swelling is usually related to allergies or other medical issues and doesn't respond to surgery.

Discoloration of the lower lid skin may be related to diminished skin tone, in which case it will look better when you gently push the lower eyelid skin in an upward and outward direction.  If so, a tightening of the skin and possibly the muscle of the lower eyelid will help. If this is not the case it is probably related to the natural pigment of the lower eyelid and will not benefit very much from surgery.

I hope this information helps.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 8 reviews

Treatment for under eye bags and discoloration

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There are various issues that can lead to bags under the eyes and discoloration and the treatments may vary, depending on the cause.  Without seeing a picture of you or seeing you in person, it's impossible to give you advice about the treatment that would help you.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.