Is there anyway to remove this kind of eye bag/ dark circle? (photos)

What you are seeing are two distinct things:  the swelling you notice just below the eyelashes is the orbicularis muscle.  This will be more pronounced when you smile.  Below that is the orbital fat.  This can swell up and produce the "eye bags".  With surgery you can reposition the fat into the tear trough.  The muscle can be trimmed a little, but it is not a good idea to take out a lot of this since it is the muscle that helps to hold the eyelid in place and helps us to blink normally.  I would recommend some filler into the lower eyelid such as belotero or restylane.  These will help to smooth out the contours of the lid and make the shadows and indentations less noticeable.   

Baggy , aging eyelids in younger peopleyou have several issues.  it appears that your muscle is very heavy near the lash line and this can be reduced.you can have some blending done with fillers or fat.     some lifted or tightening of the canthus can raise the outer corner of your eye

This question was recently asked and unfortunately we see this problem often in younger patients. A lower blepharoplasty done through an incision just below the lashes helps significantly. The skin and muscle layers are tightened and fat pad protrusion is also dealt with according to what is found on your exam in person. This helps smooth the overall contour of the area and reduces the darkness. The good news in younger patients is the results last for many years. Most of the non-surgical treatments are frequently disappointing.

A lower blepharoplasty would probably be necessary to reduce the fat in this area.  Also some fillers may be necessary to increase the cheek volume and blend the lid cheek junction. 

It cannot be determined from just a photograph, but a condition like yours is very often a combination of undereye
hollowing and thin skin.  The mid portion of your face is relatively flat making the eyelid fat (which is normal) look protruding.    You also appear to have a small "under eye
roll" that is created by a contracting under eye muscle.  We have excellent results using filler (off label) in this area to the mid-face and under the eyelids.  Sometimes also injecting a little amount of Botox can relax that muscle and
flatten the roll.  Get a consultation with an injection specialist in my opinion rather than opting for surgery.   If you do have surgery, it looks from the photo that fat transfer, rather than removal would be the best option since fat removal may result in a hollow appearance.  Again, a consultation is needed to determine what's best but this is a common complaint from many of the patients we see and I usually begin with filler and resort to surgery if that is not sufficient.  Best of luck.

As a cosmetic oculofacial plastic surgeon practicing in Manhattan and
Long Island for over 20 years, I deal with this situation every day. I first
explain to my patients the cause of the bags. In your situation, one of your
bags is from the eyelid margin or the eyelashes to an area before the second
bags begin, which is actually a muscle called the orbicularis oculi muscle. This
muscle is activated when you smile and has the tendency to bulge when it
contracts. I don’t really recommend doing anything for that because it’s a
muscle that you need that supports the lower eyelid. We periodically do a trial
of neurotoxin like Botox® which is non-surgical and see if it contracts a
little less. However, you can’t relax it too much otherwise you are at risk of
the lower eyelid sagging.



The puffiness in the lower area despite the use of creams is due to
lower eyelid fat prolapse. From your photos, it is clear that there is a bulge
of fat that has moved forward. The procedure for that is lower eyelid
blepharoplasty. If there was a non-surgical option, then blepharoplasty would
not be one of the top 5 most popular cosmetic surgical procedures. In addition, a lot of devices are marketed to
try to non-surgically treat this area and people try to camouflage this with
all kinds of injectables. Unfortunately, at a certain point, none of those
things can really make a difference because the anatomy is very straightforward
-it’s fat that’s pushed forward. MRI studies have shown this to be fat that has
increased in volume. It generally runs in families, and I've had the privilege
of operating in 3 generations.



My recommendation would be to do a transconjunctival blepharoplasty. I
would address the fat pockets from the inside of the eyelid to avoid any
external scar. At the same time, I reduce the puffiness and create a contour
either through the removal, sculpting and repositioning of fat so that it looks
like you never had the bags to begin with. Those fat pockets don’t come back. We
perform this surgery under local anesthesia with LITE™ IV sedation in our Joint
Commission facilities in our offices.



Over 20 years, we’ve worked on developing systems and processes so that
people would not have an aversion to surgery. We do everything to make people
comfortable. Lower eyelid surgery can be complex. Unfortunately, many people do
have some complications. As a specialist, I get to fix those complications. We
get patients from around the world to have these procedures revised whether
it’s residual fat or fat transfer that have to be removed.
Patients also have lower lid retraction where the eyelid was pulled down, and
ectropion where the eyelid was everted out. In spite of all those potential
complications, it can be a remarkably satisfactory surgery when performed well
in good hands. Every surgeon has to deal with these issues no matter how good
they are and how much experience they have.



My advice is that you meet with qualified, experienced cosmetic
surgeons and have a physical exam. Determine the kind of doctor you feel has
the level of expertise, knowledge and experience that you trust to have your
eyelid surgery performed. Otherwise, you will be spending a lot of time and
money on things that are not likely to work. I hope that was helpful, I wish
you the best of luck, and thank you for your question.



This personalized
video answer to your question is posted on RealSelf and on YouTube. To provide
you with a personal and expert response, we use the image(s) you submitted on
RealSelf in the video, but with respect to your privacy, we only show the body
feature in question so you are not personally identifiable. If you prefer not
to have your video question visible on YouTube, please contact us.

The upper bulge just beneath your eyelashes is caused by your lower eyelid muscle and cannot be removed.Puffiness beneath the bulge can be intraoral fat which can be repositioned lower beneath the eyelid to improve cheek fullness and lessen the depression there.  Please see very experienced board certified plastic surgeon who specializes an oculoplastic surgery.  For more information please read the following link: