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 24
Conservative Eyelid Surgery
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.
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.
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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.
Lower lid bags
I would first start with some filler to the lower lids, namely restylane. If this does not improve the appearance, a lower lid blepharoplasty with fat repo with a transconjunctival incision is the way I would good. Obviously an in person consultation is needed to make any surgical decision.
Eye Bags, Circles, and Demarcations
There are many causes of eye bags. Some are shadow issues, some are discoloration issues. Most people have a multifactorial problem meaning they have more than one issue causing this demarcation. Below is a list of common issues and my treatment protocols.
1. Prolapsed orbital fat through the orbital septum: treated with lower lid blepharoplasty and fat transpositioning. Can also be helped with fillers or auto fat transfer to the face but the ideal treatment in my hands is surgery for this issue.
2. Eczema: much more common in young people with fair skin. The treatment for this is to hold off on makeup and any manipulation of the lower lid for a few weeks and try some topical anti inflammatory creams. If you have allergies those should be treated also. A dermatologist is the best person to see for this. We have a multidisciplinary clinic with myself, a plastic surgeon, and my partner, a dermatologist which I think is ideal!
3. Fluid accumulation and/or redundant skin. Could be possible in young patients but would need a good facial analysis and exam to determine. A low salt diet (< 1000mg/day) and a warm compress can help. I would consider treating with filler/fat transfer, lower lid fractional ablative laser and/or lower lid blepharoplasty.
4. Descent of midface cheek pad. This then causes the nasojugular ligament to become more prominent creating a demarcation and separation of the eye from the cheek subunit. Treated with mid face lift and/or fat transfer.
It is all about the balance of this transition from the orbit to the cheek. There are many ways to treat this and they vary by the underlying cause. I recommend seeing a surgeon who also does a lot of these treatments. This can make a big difference as most people have a combination of the above that lead to the issue.
Hope this helps.
Best of luck,
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
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