Are my eye bags fat or fluid filled and what is best treatment please? (Photo)

Doctor Answers 8

What causes Eye Bags - Fat or Fluid. And Best Treatment for Eye Bags.

It's impossible to diagnose lower eyelid bags without an in-person exam. However, 'eye bags' are generally caused by fat whereas 'festoons' are generally caused by fluid. There are a multitude of treatments available for lower eyelid rejuvenation. It is important that the doctor you see is able to diagnose and treat the skin, laxity and fat aspects that concern you. Oculo-Plastic surgeons specialize in plastic surgery around the eyes and might be your best bet to explain your options. Good luck!


Ridgewood Oculoplastic Surgeon
5.0 out of 5 stars 34 reviews

What Causes Lower Lid Fullness?

A complete exam and review of your medical history is important in addition to your photos to answer your question. For example lower lid fullness can be caused by uncontrolled allergies (edema fluid) or hereditary (fat).

Eye Bags Treatment

Thank you for your question about eye bags treatment.

It is probable fat, not fluid - but an in-person consultation is necessary to make an exact determination.

To be sure, see two or more licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 150 reviews

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Options for Under-Eye Bags

Although they appear to be fat in your photos, this can only be verified with accuracy by a specialist in person who can then tell you which option is best for you. 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. Injectable fillers such as Teosyal Redensity II or Restylane are extremely popular for those not yet ready for blepharoplasty.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
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Fat versus fluid under the eyes

It is difficult to say with certainty what is causing the fullness that is of concern to you.  It appears to represent fat but this can only be determined if you are examined in person by a surgeon who is highly experienced in lower eyelid rejuvenation.  The best treatment options will depend on the nature of the material in that area.

Brian Biesman, MD
Nashville Oculoplastic Surgeon
4.8 out of 5 stars 41 reviews

Are my eye bags fat or fluid filled and what is best treatment please?

Without examining you it's tough to be sure but 'eye bags' a are usually a combination of fat, swelling and excess skin to varying degrees. To know for sure get a consultation with a plastic surgeon near you. Best of luck!

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 21 reviews

Eye bags

Your "eye bags" appear to be herniated fat which has come forward from its normal location around the eyeball. It can be removed by a procedure known as a lower lid blepharoplasty. In a patient such as you, this can be accomplished using a hidden incision on the inside of you lower eyelid making the bags go away. The skin is then tightened with either a laser or chemical peel. Obtain a consultation with a board certified plastic surgeon for an evaluation and discussion of treatment options.

Fat bags

At the lower eyelid we all have 3 fat pads, between the lower orbital floor and the eyeball, the inner one is like a pea in size and shape, the medial one like a bean and the outer one like a chickpea. Do push in your eyeball (with that eyelid closed, of course) and you'll be able to identify perfectly the above mentioned 3 elements.

The best option is the scar-less transconjunctival blepharoplasty.

Alejandro Nogueira, MD
Spain Plastic Surgeon
5.0 out of 5 stars 34 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.