Under Eye Bags and Stretched Skin?

Question

Hello, I am a 25 year old male. I have been going through an extremely rough 2/3 month period. In this time due to lack of sleep, medication, diet I kept waking up with bags under my eyes due to water retention. Every morning they kept getting bigger. Now if I dont watch what I eat or drink alcohol they swell up like balloons. Can you please offer me some advice. Will the skin tighten up again? I never had this issue before and it's destroying my confidence and my life

Larry S. Nichter, MD, MS, FACS · Answer

Almost impossible to answer with out photos and/or an exam. Although you can camouflage the problem in certain cases with fillers, a blepharoplasty is generally recommended.
Patients who would benefit from a blepharoplasty include those who experience:
	•	Excessive, sagging, or wrinkled upper or lower eyelid skin.
	•	Excess upper eyelid skin that interferes with vision.
	•	Loss of your natural upper eyelid crease
	•	If you have puffy pouches of fat in the upper or lower lids that create a tired or aged appearance.
	•	Orbital Rim Show: visibility of the bone under the eye sometimes contributing to a dark ring or shadowing.
Normally, everyone has a small amount of fat around the eyes. If the quantity of fat increases or the local tissues stretch and weaken, the fat begins to bulge producing “bags.” Occasionally this bulging is seen in young patients and is an inherited family trait, and not a result of aging. These changes have a profound effect on one’s appearance giving a tired or haggard appearance. An attractive face with these early signs of aging can affect a patient’s self-image, attitude and sense of well-being.

Kenneth Hughes, MD · Answer

Eye bags getting worse in a short period of time can be due to a number of endocrine problems or fluid balance problems. What is the medication or medications you have been taking? If caused by a medical problem, treatment may reduce the swelling.

William Portuese, MD · Answer

Water retention in the lower lids can come from a variety of sources, such as allergies, salt and alcohol intake. There are several medical conditions that will cause fluid retention as well and you should rule these out first with your physician. Your skin should tighten up again.

Luis A. Cenedese, MD, FACS · Answer

Acute changes in eyelid bags can be caused by water retention from medications. Check with your physician if this is a possible side effect.

	If changing medication and limiting salt intake does not correct this injections of fillers or fat below the lids will help to diminish their appearance.

	Please consult in person with a Board Certified Plastic Surgeon prior to making any treatment decisions.

Imtiaz A. Chaudhry, MD, PhD, FACS · Answer

Premature bags under the eyelids can be very annoying to anyone let alone a young person like you. Although there may be genetic predisposition, many factors can accentuate formation of these bags. Lack of sleep, unhealthy eating habits, smoking and alcohol use can definitely exacerbate. Any inflammatory process can also result in edema in certain areas of the body. I have seen these bags more in a person being overweight, having thyroid disorder and orbital inflammatory disorders. The septum behind the eyelid skin and muscles which keeps orbital fat at its proper location may become week from different stresses and lead to bulging of lower eye as well as skin laxity. I would recommend careful evaluation in your case prior to any surgical intervention.

Under Eye Bags and Stretched Skin?

Answers (5)

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