What Method is the Best for Eye Bag Removal?

Dear Oasis,
It has been my experience that surgical removal of lower eyelid fat "bags" can leave a hollow, operated appearance. I typically use injectable fillers to add volume to the grooves that form just below the "bags". This has been a very satisfying, affordable remedy for lower eyelid bags, with no downtime, and a fraction of the cost of a surgical procedure.
I hope this helps, and best regards.

Thank you for your question. There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Hi OasisThank you for your question. Diet and exercise can help, however if you are still unhappy lower eyelid surgery aims to address the bags under the eyes. Excess skin and removal or reshaping of the fat smooth’s the contour between the lower eyelid and the cheeks. We do this under local so the down time is minimized and you can get back to your life quicker.Do your homework, find a exerienced surgeon and all the best with your journey

Oasis,

Thank you for your question.  Without a picture your individual condition cannot be accurately assessed.  I would recommend that you have a consultation with a plastic surgeon specializing in the face who will be able to identify if you would be best treated with a dermal filler, lower blepharoplasty with fat repositioning, laser resurfacing or a combination of several or all of the above. 

Best Regards,

Jacque P. LeBeau, MD
LeBeau Clinic

First the diagnosis has to be made correctly.  If the issue is fat in the lower lids with good skin, this may be addressed by removing the fat from inside the lids termed a trans conjuctival blepharoplasty.  If there appears to be excess skin as well then, the best approach would be a tradtional open blepharoplasty with an incision under the lashes and removal of a small amount of skin as well.  If the issue is a valley beneath your eye lid, typically seen along the bony rim, then the approach may be just using a filler to fill the valley, a non surgical alternative or possibly moving some fat from the lower lid to fill the valley, performed at the time of surgery.

Pictures would be helpful to better assist you with this question.

All bags under the eyes are not created equal.  Some people just have excess fat under their eyes.  For those people the best treatment is usually removing the fat.  This is an operation that is best done from the inside of the eyelid.  Other people have excess skin and fat.  For those patients surgery usually involves removal of some of the fat as well as a tightening of the tendons of the eyelid and removal of a small amount of skin. Other patients have excess fat and bothersome lower eyelid wrinkles.  For those patients the treatment usually involves removal of the fat from inside the lower eyelid along with a laser skin treatment to make the skin smoother. Those are the main surgical options.Interestingly, most people with lower eyelid bags do not need surgery at all.  That is because as we age we tend to lose cheek fat (right under the bag).  When that happens there is a bag, but that is only because the cheek fat is going away while the eyelid fat is not. In this situation the best treatment is hyaluronic acid fillers to smooth the transition between the eyelid and the cheek.  In general we feel that the best fillers for this type of treatment are Restylane, Resylane Silk and Voluma.The key to a great result is seeing an experienced cosmetic surgeon who can help you decide what treatment is best for you.

Without more details, it’s difficult to give you precise advice for your situation. Laser treatments, injectable fillers such as Teosyal Redensity II or Restylane, and Living Proof Neotensil™ Daily Under-Eye Reshaping Procedure compresses can all 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. Consult a qualified plastic surgeon in person for the option that is best for you.

You should consult with a board certified facial plastic surgeon or plastic surgeon. Upon examination, the well trained surgeon will be able to recommend the treatment option(s) which would best address your individual concerns. You may be a candidate for a filler, a fat transfer, or minor surgery. Best wishes!