Sudden under eye bags that won't go away. How can I make them go away? (Photo)

Question

I'm 36 and I haven't been getting much sleep and I know I don't drink enough water. I've been working on both. However, I have had these eye bags which I've never had before for about 4 weeks. I know they were not there before and have checked recent pictures to verify. Nothing seems to work. Cold compresses allergy pills, I've tried everything and it's not making a difference. If it's from age would it come on so suddenly and severe? How can I make it go away & how long? Could it be permanent?

Jonathan Kulbersh, MD · Answer

You have two different options for treating this concern. The nonsurgical approach involves placing some well-placed dermal filler in the tear troughs. The filler produces subtle volume to reverse the hollowing and discoloration you see. Results typically last 6-12 months. A more permanent solution is lower blepharoplasty. This surgical treatment removes excess skin from the lower lid, while repositioning fat below to create subtle volume. Incisions are made inside the lid or along the natural crease beneath the eye to minimize visible scarring. Recovery is 1-2 weeks and improvements can last up to 10 years or longer. No matter which treatment you choose, make sure you work with an experienced, board-certified facial plastic surgeon to ensure an optimal outcome.

Jason Emer, MD · Answer

lower bleph surgery would be best for you, but under eye filers, lasers, plasmapen and skincare can be used.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now.

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term.  There are many things you can do to treat under eye hollows and dark circles without surgery.  Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture.  I suggest you get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Camille Cash, MD · Answer

There are two options to address the under eye bags.  Fillers work well by using volume to disguise contour irregularities.  The treatment is done in the office and the results last up to one year.  Blepharoplasty is a surgery that will give a more permanent result.  Excess skin is removed and herniated fat beneath the eye is redraped for a smoother, younger appearing eye.  See a board certified plastic surgeon near you to learn more.

Zoran Potparic, MD · Answer

Signs you show on this photo are typical for lower eyelid aging; small bulge and groove underneath (tear trough deformity). Transconjuctival lower blepharoplasty is excellent treatment for it but skillful application of fillers may help to camouflage that for some time. In person consultation with an expert in eyelid surgery is recommended. Good luck.

Brooke R. Seckel, MD, FACS (retired) · Answer

There is very early puffiness caused by normal fat around the eye. It is called herniation of intraorbital fat.
Definitive therapy is surgical a Transconjunctival Lower Eyelid Blepharoplasty.
However you are young and I would wait on surgery.
A careful Restylane injection by an experienced Oculoplastic or Plastic surgeon can camouflage the puffiness. Only 0.6 cc and Only Restylane should be used buy an experienced eyelid surgery injector.

Sudden under eye bags that won't go away. How can I make them go away? (Photo)

Answers (6)

Answer: Lower blepharoplasty or filler

Answer: Lower blepharoplasty or filler

Answer: Eye bags are caused by herniation of normal eyelid fat.

Answer: Eye bags are caused by herniation of normal eyelid fat.

Recommended reading

Everything you need to know about Eyelid Surgery

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

Sudden under eye bags that won't go away. How can I make them go away? (Photo)

Answers (6)

Answer: Lower blepharoplasty or filler

Answer: Lower blepharoplasty or filler

Answer: Eye bags are caused by herniation of normal eyelid fat.

Answer: Eye bags are caused by herniation of normal eyelid fat.

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Recommended reading

Everything you need to know about Eyelid Surgery

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