Under Eye Bags: how do I exhaustively check causes before considering surgery?

I'm a 26 year old male with very significant under eye bags. However, they come and go over time, and I want to figure out what's the cause. I'm aware that genetics contribute as a cause, but I really want to check *all* my options before considering surgery. What can I be checking? So far I've considered: - a sleep study - seeing an allergist - blood tests for hemochromatosis (came back negative) I'll consider surgery, but where else can I check to find the *cause* of these?

Answers (2)

Possible causes of eyelid bags.

There are many causes of bags/puffiness under the eyes. These include oversleeping/sleep deprivation, high salt diet, alcohol or kidney problems, crying, thyroid disorder, allergy. physical/emotional stress, medications, etc. Since your bags come and go, you should definitely find the cause as this may prevent you from having an unnecessary procedure. 

Eric In Choe, MD

New York Plastic Surgeon
55 reviews

Under Eye Bags that Come and Go...WHY?? Ask Dr Ellen

Hello there,

It sounds like you're taking a thoughtful approach to understanding the causality of your intermittent under eye fullness. I would add to your list a visit to your ophthalmologist for a thorough exam and a physical with your family doctor. Sometimes salt and water retention are the culprits behind this issue. A better understanding of how your diet impacts on water retention may be of value.

Thanks for asking! Dr Ellen

Ellen A. Mahony, MD
Ellen A. Mahony, MD
Westport Plastic Surgeon
46 reviews

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