Thank you for your question. The under eye bags appear to be puffiness in the picture and based on your description, however, it is impossible to know without an examination. I suggest that you consult in person with a board certified facial plastic surgeon to determine your best course of action.
fillers, lasers, skin tightening can all be done to improve the area without surgery. please see an expert for options. dr. emer.
Thank you for posting your pictures. The fat under your eyelids can retain water and get more pronounced. Considering the rest of your issues, this could be the case. Why are you retaining water would be my first question? You may need to change diet (low sodium), etc. Fillers in the tear trough area will help camouflage the eyelid bags, but you have to be careful because the actual filler could also retain water. I prefer Belotero in this area as it tends to retain less water. Results can last for 6-9 months and sometimes longer depending on the patient. A transconjuctival blepharoplasty to remove the fat deposit under your eyelid can help and give you a more definitive result. Hope this was helpful. Good luck!
I would recommend seeing your internist for a thoughtful assessment to make sure you do not have a metabolic disorder such as an abnormal thyroid. You photos show that you have upper eyelid ptosis and a small amount of herniated orbital fat in the lower eyelid. You probably can avoid eyelid surgery by electing to have under eye fillers. The upper eyelids would benefit from ptosis surgery but this is elective.
This is the fat of the lower lids. Patients will often notice that the fat pads can swell more depending on diet, allergies, amount of sleep etc. But you can't make the fat pads disappear with a change in the diet. Some HA filler such as Restylane under the fat pad should help to soften their appearance and would last at least a year.
Based on the location of the puffiness, it appears more likely to be fat prolapse. This is not atypical, even at your young age. Because it isn't swelling, cold or vitamin treatments or changes in diet won't have any affect. Your options are to ignore it, check into having filler placed in the tear trough or consider a lower eyelid blepharoplasty. See an oculoplastic surgeon in your area who can advise you on your best course of action.
Hi Jay, this doesn't look like typical undereye bags. This kind of swelling could be due to an allergy. You could try taking Zyrtec to see if it makes an improvement, but if it continues you should probably see someone to try to identify the cause of your symptoms.