I am only 20 and I have always had horrible dark circles under my eyes. Since 18 I noticed that the dark circles were turning into bags and they are only getting worse, rounder and fattier.My mums family all have horrible big fatty sacks under their eyes. Everybody thinks I am tired when im not and lately I honestly feel like I could pass for 35. I also have bad allergies which make them a lot worse. I am depressed and I just want to look my age. Please help me.
I Am 20 and Have Enormous Puffy Bags Under my Eyes. What Kind of Surgery Should I Get?
Doctor Answers 22
Conservative Eyelid Surgery
Transconjuntival Lower Blepharoplasty in a 20 year old
You are an excellent candidate for transconjunctival lower blepharoplasty. The procedure takes under an hour, can be done comfortably under sedation, and yields permanent results with no external or visible incision lines.
Under eye bags - There are several options
Based on your photos, it appears you some herniation of the fat in the lower part of your eye socket. You may get some improvement with facial fillers, but a lower eyelid blepharoplasty with fat transposition done from an incision on the inside of the eyelid will be the longest lasting option. It will release the tissue holding back the fat so it can move into the groove between the eyelid and cheek. This restores the youthful look of the lower eyelid.
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Bags under the eyes at 20
If they are truly enormous at age 20, then this is a hereditary problem and you may have undeveloped bony structure under the lower lids, called the infraorbital rims. The bags, which are pseudo-herniated fat pads can be reduced through an incision inside of the lower lids, and it may be necessary to insert a silicone implant as well. This is very successful in the right patient done by someone who is experienced in the procedure. The implants must be tailored to the patient.
Alternative treatments, much more temporary, would be filling the depression under the bags with a filler or fat grafts. Correcting deficiencies in this area can be extremely satisfying for the patient and doctor. Both reducing the fat "bags" and the implant are permanent, but the trial with the fillers is a good idea to see if this is satisfactory for you. If it is,then athemore permanent solutions mentioned above can be performed.
Enormous Puffy Bags under Eyes and Dark Circles requires surgery for effective removal
Even though you are young, surgery is the most effective solution for bags and dark circles under the eyes.
Especially in a younger person you want conservative safe surgery.
Your procedure should be done through a Transconjunctival incision inside the eyelid to avoid a visible scar and avoid a change in your eyelid shape that can happen when an external Blepharopolasty incision is made.
The transconjunctival approach avoids removing skin. In addition the fat causing the bags can be transferred or grafted into the dark circle to plump the depression and remove the shadow causing the dark circle.
The procedure is called a Transconjunctival Belpharoplasty with Arcus Margunalis Release and Fat Grafting.
You can read more about it in the link below.
Fillers if not injected properly can make your Dark Circles under the Eye worse. If you chose this approach find an expert who can show you photos of their results.
Puffy bags in 20 year old
Yes, you DO have puffy bags which could be treated surgically. But surgery is not always the right answer and some times there are complications. I think it would be most prudent for you to consider an under eye filler for now. This may give you the results you are seeking and successfully delay surgery for years.
Under Bag Treatment
All The Best!
What to do for puffy lower eyelid bags in a 20 year old?
Minimally Invasive Blepharoplasty is an option
Puffy lower eyelids
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.