Is 31 Too Young to Get Under Eye Bag Surgery?

I've had under eye bags since I can remember. I've tried everything under the sun to fix the problem, but I realize I might need to get surgery to get rid of them. I used to have them really bad on Monday mornings (probably from drinking over the weekend) but would decrease as the week progressed. I now constantly have them and I wear glasses (non-prescription) just to hide them. Can someone provide a price range for the surgery?

Doctor Answers 17

Under eye bag surgery at age 31 is acceptable

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Patients can undergo lower blepharoplasty when needed. At age 31 it is best to probably undergo a transconjunctival approach with removal of the fad pads in the lower lids. There is no external incision. The fat is simply removed through the inside of the lower lid. This takes approximately half an hour under general anesthesia and the cost is approximately $3000. This includes the operating room, the anesthesia, and the surgeon’s fee for performing the procedure. These bags are very difficult to remove under local anesthesia. Expect approximately two weeks of bruising and swelling after the surgery.  

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Young Women with Baggy Eyes

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I do not have a specific age restriction for doing lower eyelid surgery. The need for surgical correction is not based upon your chronological age, but on the condition of your eyelids. You may be one of those who was just born to have droopy lower lids. They can be fixed at age 31 or 61.

Mark Preston, MD
Columbus Plastic Surgeon

Most people don't need lower eyelid surgery, they need fillers to the face

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95% of the patients I see with bags and dark circles under their eyes have them because of an indentation, or small valley at the transition from the eye socket to the rest of the face.

In my practice we use fillers to smooth this transition area and to augment the cheeks.  We have had great success with this.

While 8 years ago, lower lid Blepharoplasty was the best treatment available, today, most people are best treated with fillers.

Good luck in your search for information.

David C. Mabrie, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 156 reviews

Is 31 too young for eyelid surgery?

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  I think you would be an excellent candidate for transconjunctival lower lid surgery.  Use of an filler to the under eye hollows might also be considered as a nonsurgical option.

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 140 reviews

Under-eye "bags" at a young age

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Lower lid fullness can be a facial feature inherited from a parent and intervention for this may be something you can consider if you would like.  There are nonsurgical options such as lasers, peels, and injectable fillers.  The surgical procedure that helps improve the appearance of the lower lids is lower eyelid blepharoplasty.  Consultation with an oculoplastics surgeon can help you determine which options are available to you to obtain the results you desire.

Keshini Parbhu, MD
Orlando Oculoplastic Surgeon

Surgery for bags under the eyes is sometimes done in younger patients when it is hereditary.

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Some individuals have puffy eyelids as a family trait.  If they don't like the appearance, it can be addressed with eyelid surgery.  It's fairly straighforward surgery with predictably good results.

Getting Rid of Lower Eyelid Bags: Lower Eyelid Blepharoplasty with a Mid Face Lift

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Lower eyelid bags can be congenital and worsen at a young age. It is not uncommon for women in their 30s with such a problem to have it corrected. Unfortunately, most plastic surgeons are recommending fillers in the area which are temporary and can make the ultimate fix more difficult. From an anatomic perspective, you have weakness in your lower eyelid and drooping of your cheek which can accentuate the skin and fat of the eyelid. For your complaint, I would recommed a lower eyelid blepharoplasty with fat repositioning and muscle tightening, as well as skin removal and eyelid tightening. You may also benfit from a midface lift or cheek lift whic can be performed through the lower eyelid as well. Costs of these porcedures can vary, but plan on taking a couple of weeks off to recover.


Dr. Trussler

Andrew P. Trussler, MD
Austin Plastic Surgeon
4.9 out of 5 stars 52 reviews

Lower bleph at a young age

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Plastic surgery is more physiologic than chronologic.  At times, young women complain of naturally droopy breasts, or other issues that would seem to only affect older women.  Based on the photo provided, it would appear that you could benefit from a lower blepharoplasty.  This may involve skin excision and repositioning of fat.  It is now customary to preserve and reposition fat rather than to excise it.  Removal of fat from this region can provide a hollow aged look.  There are no effective non surgical means to correct this other than laser skin tightening.  In my opinion, you would be a better candidate for surgery than for laser.  A laser would leave you red for a long period and would probably under-correct the problem.  Price range depends, frankly, upon zip code and surgeon experience.  Check your doctors license and make sure he or she is board certified.  A price may vary from $2500 to $7000 depending on your doctor.  You should seek a fair price, probably somewhere in the middle of these figures.  But, most of all, find someone competent in this procedure as complications are difficult to correct.  This is generally considered a challenging procedure.

Jason Hess, MD
San Diego Plastic Surgeon

Under eye bags.

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It is not uncommon to have under eye bags at 31 years old. The lower eye fat prominence can be the result of two things most commonly. 1) genetics....the problem may be familial and run in the family and   2) Excess fluid accumulation as a result of some allergic manifestation.  If the problem is familial you can have a blepharoplasty ( most likely transconjunctival if fat is the main issue ) at any age over 18 years and see a real and useful benefit. It can be repeated later in life if more fat hernieation should present itself. If the problem is allergic you should have a workup for this by your internist, ENT, or allergist before doing any surgery.

Under eye "bags" can be corrected before you are "old"

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Although many cosmetic surgery procedures correct changes that occur with aging, the same procedures can be done to change a person's appearance that is more the result of "genetics". See a Board Cerified Plastic for a consultation to find out what your "results" from surgery are likely to be. Sometimes the under eye "bags" are visible due to a "gap" in fatty tissue in the cheek where the eye fat meets the cheek fat. In this situation repositioning the fat of both the lower eyelid and cheek may be neccesary for full correction.

Debra Irizarry, MD
Crestone Plastic Surgeon

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.