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!
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).
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.
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.
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.
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!
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.
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.