Why do I have one eye bag and how can I make it match the other eye? (photo)

Question

I'm 31. I have had an extra bag of fat under my right eye (left in the picture) for as long as I can remember. It's more obvious when I smile and when I am tired, but it is always there and has always only been on that side. What is it, why is it only on one side, and what must be done to make it look more like the other eyelid? I don't see many pictures of people with one eyebag!

George Yang, MD · Answer

Hi Rhee,I tend to offer fillers for lower eyelids dark circles and minor eyebags.  In your case, the assymetry in the two eyes likely indicates that you have more fat on the right lower eyelid than the left, in which case a lower eyelid fat reduction would help.  This can be performed with a lower eyelid surgery called a transconjunctival lower blepharoplasty.  There are no external incisions, only a small one on the inside of the eyelid which will not be seen, in order to removed some fat.As a non-surgical alternative some of the Nonsurgical skin tightening devices that use Radiofrequency or ultrasound seem to be able to shrink some facial fat.  I have not seen examples of this new technology specifically treating eyebags, but I have seen it shrink the fat on double chins.  These devices frequently have smaller tips to treat around the eyelid area.  Perhaps that might be a new way to use the technology.  The gold standard way to treat excess fat protruding from the lower eyelid area is still surgery, but perhaps non-surgical means are on the horizon.Best,Dr. Yang

Biraj Naithani, MBBS, MS, MCh · Answer

Hi there. It does seem that you have a rather unusual problem there. And looking at the picture it looks to be just a localised bagginess. It would be good I you can contact your local plastic surgeon who can at least decipher whether it is indeed a baggy eyelid or a local fat deposit. Although, treatment for both conditions is surgical with good results. All the best!

Why do I have one eye bag and how can I make it match the other eye? (photo)

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Why do I have one eye bag and how can I make it match the other eye? (photo)

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.