Best Laser Treatment for Under Eye Bags?

I have always had "bags" under my eyes. Will any of the laser techniques work?

Doctor Answers 10

Choose the right laser to suit your own needs

There are several good lasers (Erbium, CO2 & Fraxel) on the market which can tighten the skin, remove irregular skin pigmentation and improve wrinkles. It's important that the right laser is used by an experienced surgeon, otherwise the skin can become too tight, causing the eyelid to pull down or roll outward. Often a blepharoplasty has to be performed in conjunction with laser resurfacing in order to remove the bulging fat bags. This combined technique can yield best results to achieve an overall enhanced appearance. 

I hope you find this helpful.

Combo approach

In my hands the best results are obtained with a combination of the PDL or a similar low wavelength ~ 595 nm for vascularity followed by a fractional ablative laser such as the CO2 10,600 nm or the Erb:Yag 2,940 nm. The latter will help tighten the skin modestly. 

See below for other options for orbital rejuvenation:

For smile lines (around the eyes) and forehead wrinkles, at your age, strategically placed botox. For the dark circles you really need a good facial analysis and physical exam to determine the cause as different causes lead to different treatments.

For example, in  my hands, lax skin =  laser resurfacing

Orbital fat prolapse =  transconjunctival blepharoplasty with fat repositioning, possibly autofat transfer to the face vs. synthetic filler

Deep nasojugular groove =  possible mid face lift

Festoons =  classic blepharoplasty with orbicularis work and possible skin pinch

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Options for Under-Eye Bags

Laser treatments can reduce the appearance of under-eye bags. Yet the best solution is usually blepharoplasty (eyelid surgery), which involves removing excess skin from around the eyes. The tissue will be tightened, and it’s possible that small pockets of fat will also be removed during the operation. These modifications can result in the significant reduction or even complete removal of bags underneath the eyes. Injectable fillers such as Teosyal Redensity II or Restylane 

are extremely popular for those not yet ready for blepharoplasty. Consult a qualified facial plastic surgeon in person for the option that is best for you.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 124 reviews

Not really

The optimal treatment for lid "bags" is eyelid surgery or a blepharoplasty.  Lasers will tighten the lower lid skin and perhaps leave then shiny but will not address the underlying fat that is bulging.  The only approach is eyelid surgery to sculpt the bulging fat away and leave a refreshed appearance. 

Laser or fillers

If your bags are due to lax skin, then a laser skin tightening treatment may help. You can also consider injectable fillers.

Best Laser treatment for under eye bags

Treatment for under eye bags vary depending on the severity of the bags. Also, some people confuse under eye bags for hollows under eyes, so the treatments vary. 

Without a picture it is difficult to say which would be ideal for you. Laser treatments are generally great for under eye skin that is becoming 'creapy' and 'wrinkly'. The laser causes damage to the skin which in turn stimulates it to repair itself and while doing so, activates skin cells to produce more collagen and makes it appear more youthful and tighter. (see my before and after gallery- there is a picture of fat transfer with under eye laser)

Other options include fillers and surgical options. 

Dilip D. Madnani, MD, FACS
New York Facial Plastic Surgeon
4.9 out of 5 stars 82 reviews

Laser resurfacing and lower eyelid blepharoplasty - Los Angeles

Laser skin resurfacing can correct loose skin, but cannot remove under eye bags. I combine blepharoplasty with laser resurfacing. Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Eye Bags

"Bags" under the eyes is a very common complaint. The soft, delicate eyeball is protected from the hard bony orbital skeleton by intra-orbital fat. The fat cushions the globe as we "bounce" along through the day...the fat is held into place and prevented from pushing out or herniating by the orbital septum...a very thin, tissue paper like structure located above and below the eyeball. As we age, and sometimes thanks to our genetics passed down from mom and dad, the orbital septum thins and like the sail of a boat, allows the fat to billow out. This billowing or fullness causes the bulge you are seeing, sometimes worse on one side versus the other. This fullness, or bag, casts a shadow that is percieved as a dark ring...and causes your friends to ask if you are tired!

Lasers applied to the skin from the outside do not correct this issue. This fullness is from the inside fat and needs surgery. Incisions can be placed either on the inside (which you will never see) or on the outside if their is extra skin as well.

I suggest you set up an appointment with a Board Certiied Plastic Surgeon in your area who sees and treats a significant number of patients with this issue...the surgery is called Blepharoplasty.

I hope this helps!

Dr. C

John Philip Connors III, MD, FACS
Atlanta Plastic Surgeon
4.8 out of 5 stars 45 reviews

Best laser treatment for under eye bags

 The lower lids are composed of skin, muscle, and fat. The fatty deposits are located below the skin and muscle. Any type of laser used on the outside of the skin will not affect the fat, only resurfaced the skin itself. We performe a less invasive trans-conjunctival approach with  2 small incisions placed  on the inside of the lower lid to remove the 3 Fatty deposits. For many examples, please see the link below to our eyelid surgery photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 133 reviews

Laser probably won't work.

"Bags" under the eyes is usually the result of herniation of fat through the orbital septum. As light fall on the face from above, a shadow is cast under the projecting fat. Lower lid blepharoplasty will fix this problem. There are various ways lower lid surgery can be done.

Look at patients in our eyelid gallery at

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 32 reviews

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.