I Have the Worst Bags Under my Eyes, PLEASE HELP :(

asked 11 months ago by lewis11 in Milwaukee, WI
Latest answer by Edwin Ishoo, MD
Question viewed 441 times
Tags: dark circles, options

I'm 22 years old and have recently noticed my under eye area getting worse and worse. slight wrinkles here and there but the main issue is the AWFUL bags and purplish tone under my eyes. It upsets me more than anything about me and I've spent hundreds on products but as always, nothing helps. Even expensive concealers can't help me. Please someone tell me what to do? I feel like I'm way too young to have this issue and it's only getting worse! :(

11 answers to I Have the Worst Bags Under my Eyes, PLEASE HELP :(

Deep tear troughs

In reviewing your pictures, I don't appreciate lower lid orbital fat herniation (pseudo-) but rather deep tear troughs extending into the midface. This is a transition issue and is cause by lack of soft tissue volume between the lower lid fat and cheek tissue. Temporary improvement can be achieved with HA soft tissue injection (reversible with hyaloronidase if necessary). This is highly operator dependent and requires skill and experience. The other longterm solution is a tear trough... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

Non Surgical Approach for Correction of Dark Circles Under the Eyes

I see many young patients who have similar complaints of dark circles under the eyes that is accentuated by the groove that forms from the inner corner of the eye. This crease is termed the nasojugal groove or tear trough. The problem is that this depression creates a shadow and makes the dark color appear worse. I generally recommend a soft tissue filler such as Juvederm or Restylane to fill this zone. These two hyaluronic acid gel products are ideal for... more

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon

Eyelid issues

For someone your age with relatively smooth and elastic lower eyelid skin, I too approach this problem with injectables, preferably Radiesse layered along the infraorbital rim periosteum with extreme care and circumspection under regional anesthesia in the office, patient sitting up and following the result with me in the mirror as we progressively transform a hollow lower lid that absorbs light to a more full, naturally beautiful lower lid that youthfully reflects light. Silicone is... more

Steve Laverson, MD
San Diego Plastic Surgeon

Restylane is the best option for tear trough

You have a tear trough volume loss as you have begun to lose some of the "baby fat" from your face. This can be easily corrected with Restylane hyaluronic acid filler. I have personally performed thousands of these injections and by far this is the best option for you. Results last around 1 year as we studied this with 3D camera imaging and it is published in the plastic and reconstructive surgery journal. See this publication for details: Donath AS,... more

Jason D. Meier, MD
Jacksonville Facial Plastic Surgeon

You appear to have lower eyelid grooves that may be improved by a well-performed Injectable Filler treatment.

I read your concerns and reviewed your photos: You have lower eyelid grooves (tear-troughs) that extend down into your midface. In my view, this is not a surgical problem. You may have your lower eyelid grooves filled, and this would decrease the appearance of "bags". In my practice, Silikon-1000, an off-label filler for permanent results, works well for eyelid grooves. Please be sure your physician is experienced in the delicate art of injecting eyelid skin, as this is an... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Bags at a young age

Hi So bags mean many different things to different people. From your photo which does not replace a good examination you have a depression under the lower lids in the inner/middle part of the lid - we call this a nasojugal groove or sometimes a tear trough. This can be addressed with a filler such as Restylane. The discoloration may improve with this treatment also. You also need to be evaluated for conditions which may predispose to this. A well trained... more

Guy Massry, MD
Los Angeles Oculoplastic Surgeon

Not a surgical problem

Neither blepharoplasty nor canthopexy is the ideal solution to this problem. As most surgeons have indicated, injectible fillers will give you the best result with the least amount of risk. The discoloration will be very difficult to address as the eyelid skin is quite thin and often will not hide the color of the underlying muscle. Good luck seattleface com

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Treatment of tear troughs

Your posted photos show thinning of the inner quarter of the lower eyelid skin and fat. The color you see is the underlying muscle visible after the overlying tissue thins. In addition to the muscle you also see the edge of the bone rim under the eye due to this thinning. When you can see the rim from the outside it is called a tear trough. I do not see any lower eyelid bags in the photos. You can find more detailed information in the referenced webpage. My response to your... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Lower eyelids

Lower eyelid concerns may be treated by a variety of procedures depending on the problem. A complete evaluation is important. The tear trough area may be treated with a filler such as Restylane. The filler adds volume to the area of depression improving the contour of the lower eyelid.

David Bray, Jr, MD
Los Angeles Plastic Surgeon

Well maybe not the worst...

Lewis Under eye fillers will do a great job addressing the under eye circles. Please recognize that this type of treatment is an art form. Do not let a nurse or family doctor do this treatment. You need someone who actually does a great deal of under eye filler service to address this issue. Consider looking on the liquidfacelift website to find someone in your area who can help you.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

You may benefit from blepharoplasty with eyelid lift (canthopexy)

Instead of agressive removal of fat, I would recommend a two-layer canthopexy (eyelid lift) to correct the problem. You can read more about MAG-5 procedure designed by Dr. Flowers.