I have a puffy bag under just my left eye. This eye is a lazy eye. Would a bag removal help? (Photo)

I would suggest that you schedule a consultation with a board certified plastic surgeon in your area to discuss using a bit of HA filler like Restylane under that eye to see if that will address the problem.
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Dr. Sheila Nazarian
@drsheilanazarian on Instagram

You may want to talk to a doctor to see if fillers may work for you. Maybe talk to them about Belotero, or what other fillers they recommend. this is something that you do not need surgery for unless it is necessary. Lower Blephs. The price for surgery starts at $3,500.

There are many ways t o treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

Thank you for sharing your case.  Lower eyelid blepharoplasty is a good option for people who are looking to remove puffiness from the lids.  Dermal fillers can also be used to recreate the smooth contour from your eyelids to your cheeks.  Schedule a consultation with a board certified oculoplastic surgeon to discuss your goals.  Good luck!

Thank you for sharing your pictures.  There are quite a few helpful options.  First of all, it is difficult/impossible to really understand the cause of lower eyelid puffiness from a photo.  This can be caused by a myriad of things, the most common of which is herniation of orbital fat.  Options for you include surgery (lower blephroplasty), fillers, and laser treatments (fractionated resurfacing) to the affected eyelid.  I would recommend finding a surgeon who is experienced in your area to do a proper consultation!  You do have good options!  Good luck!