Undereye Bags in my 20s. How to Get Rid of Them?

asked 1 year ago by suz1 in Houston, TX
Latest answer by Lawrence Kass, MD
Question viewed 985 times
Tags: age 25-34, female, options

Hello, I am 26 years old and I noticed I have major undereye bags. These bags make me look very old and tired. I think my case is heredity. My father also has severe amount of eye bags under his eyes.Am I too young to have eye bags removed? What treatment do you recommend? Thank You Alot

9 answers to Undereye Bags in my 20s. How to Get Rid of Them?

Under eye bags in the 20's

Non surgical options such as treatment of the under eye hollows with Restylane should be your first option. If you are not satisfied, then you could consider conservative transconjunctival lower lid surgery.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon

Undereye bags

Hi Well you have two options. One is to take the fat prominence of the lower lid and translocate (shift) it into the hollow below - this will improve contour and appearance. The non-surgical option is filler. I prefer Restylane. Best Dr. Massry

Guy Massry, MD
Los Angeles Oculoplastic Surgeon

Eyelid bags and treatment

Dear Suz1, What you are seeing in your lower eyelids is often seen in Asian eyelids with herniated fat pockets. You have a physicially noticable orbicularis muscle just below your eyelashes. Addressing this is difficult and I would more focus on the larger herniation below which is the orbital fat that you are seeing. Given your age and texture of your skin, you may very well be a good candidate for a hyaluronic acid filler to help treat this area. My filler of... more

Christopher Zoumalan, MD
Beverly Hills Oculoplastic Surgeon

Lower Lid Surgery

I would recommend a Trans-Conjunctival blepharoplasty. This procedure would remove any excess fat under the eye and does not require any sutures.

Elliot M. Heller, MD
New York Facial Plastic Surgeon

Eyelid bags and treatment

Dear Suz1, I believe a good place to start with a hyaluronic acid filler like Restylane for that area. It will hide the bags and give a nice result that should last 18-24 months. I would hold off on surgery until you are a little older and see how things come together down the road. Best, Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon

Eyelid surgery, #blepharoplasty, #tiredeyes, #fatgrafting, #restylane, #beauty

Dear Suz1 thank you for your question. 'Under eye bags' are common and can arise from the genetics in your family or with age. They can be treated with surgery or with injections. Injections are done with Restylane- placed on the deep layer- this will eliminate the hollow under the eye, take away the tired appearance and give a nice shape to your cheek bone. Surgery can be done through a variety of techniques- they would involve some removal of the puffing fat... more

Trevor M. Born, MD
Toronto Plastic Surgeon

Send those lower eyelid bags packing! 20 is too young.

The high point of the bag can be matched to the local tissue by injecting filler around it..... THEORETICALLY. In practice, it's harder than you might think. The problem is that the bag is very dynamically positional. Tilt your chin down and look at them. They are worse. Tilt your head back and look "down your nose" at them. They aren't even there. So with such a dynamic problem, how will a static injection be just right - all the... more

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

It is helpful to understand normal eyelid anatomy.

Dear Suz1 I understand how you feel about the lower eyelids. It is important to understand the structure described as the first bag is a normal eyelid structure of the orbicularis oculi. It is normal and the groove just below it is the lower eyelid crease. This is a normal structure and removing the lower eyelid crease does not look right. Below this is fullness from a small amount of so-called herniated orbital fat. This fat can be addressed with a surgery... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Treatment of the tear trough

The photos really show 2 sets of bags in each lower eyelid. The first is a muscle bag just below the eyelashes. The second is just above the eyelid cheek junction and is a fat bag. At this stage I would not recommend addressing the upper muscle bag because in my opinion that would require surgery and has a high recurrence rate. For the lower bags your best option is probably a filler injection. You should also have your eyesight checked to make sure that unconscious squinting is not... more