Eye bag under 1 eye - how can I treat this? (Photo)

Question

i am 28 years old and I recently noticed that i have an under eye bag in my right eye. I have tried everything but nothing seems to banish that under eye bag

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Zoran Potparic, MD · Answer

It is impossible to see that on your photo, but it looks like you  may have malar hypoplasia, small cheek bones. This can cause this type of eyelid "deformity" very early in the life; I have seen and operated on 19-22 year old models. Transconjunctival lower blepharoplasty, entirely performed inside of your lower eyelid, can correct this deformity. Cheek augmentation with filler, fat grafts or implant (if larger hypoplasia) may also be considered. Good luck.

Carrie L. Morris, MD, FACS · Answer

A resurfacing laser can really help to tighten the skin. This is a great option. You can also have a tiny bit of Botox placed to help relax the skin. Skin resurfacing will have a longer lasting results.

Robert T. Buchanan, MD (retired) · Answer

What you have is a classic “tear trough.” This is very easily treated with a heavy filler placed below the orbital ligament. Unfortunately, most injectors do not use this technique and frequently get unwanted swelling or other irregularities. Be careful who you choose.

Eye bag under 1 eye - how can I treat this? (Photo)

Answers (4)

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