I am in my early 20s and have asymmetrical bags under my eyes. What is the best way to go about fixing them? (photos)

Question

I am 22 years old and I have always had dark circles/bags under my eyes. I always assumed they were from lack of sleep since I was always in school but now I work regular hours and get regular sleep and they still persist. What bothers me even more is that they are asymmetrical. My actual eyes and eyebrows are asymmetrical as well, but the bags are what bother me most. Is there anything I can do at home to fix this? What would be my best nonsurgical and surgical options?

Mehryar (Ray) Taban, MD, FACS · Answer

The best long-term treatment for under eye bags is transconjunctival lower blepharoplasty with fat/bags redistribution (where the fat is partially removed and partially moved to fill the relative hollow area below it, in order to avoid sunken look). See following video (graphic) and website link below. Another option is filler injection.

Camille Cash, MD · Answer

You may want to consider a combination of treatments to get the best results.  Fillers can be used to add volume to hollow areas, revealing a smoother look.  Peels, lasers, and microneedling (Skin Pen) can be used to improve the quality and texture of the skin.  You may want to try these options before surgery, depending how aggressive you want to be.

Randal Haworth, MD, FACS · Answer

There are generally three methods to reduce lower eyelid bags and wrinkles.
1. Utilizing peels, lasers or any other ablative or semi ablative techniques to stimulate new collagen growth. Though effective, most people want to have little to no downtime and in order to get a very effective result with which most patients would be extremely satisfied, these techniques will fall short of their stated goals. These techniques are wonderful if they are utilized in an appropriate strength. 
2. Carefully injecting a temporary filler (such as Belotero® or Restylane®) underneath the skin in hollow areas with magnification. This could be quite effective but does involve the risk of producing irregularities and lumps and will necessitate a certain amount of bruising. A permanent filler such as Bellafill ® or even a fat transfer utilizing purified fat from your body are also options.
 3. Performing a simple surgery under local anesthesia called a pinch blepharoplasty. In this operation, a small strip of skin is removed directly underneath the lower eyelash line and results in a nearly invisible scar. The recovery is very rapid (a couple of days) and involves one single stitch which is removed in five days. This approach is actually the least complicated in appropriate hands and will produce the most consistent and significant of results in reducing your lower eyelid bags and wrinkles.

Jason Emer, MD · Answer

You have a few options. Fillers, lasers, and microneedling/PRP can improve under eye bags and circles. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. Botox can be used to help with asymmetrical eyebrows. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer.

John J. Martin, Jr., MD · Answer

Everyone has some asymmetry although yours is a bit more obvious than for many people.  You should try some HA filler to the lower lids.  When placed correctly it should help to smooth out the lower lids, and make them look more symmetric.

I am in my early 20s and have asymmetrical bags under my eyes. What is the best way to go about fixing them? (photos)

Answers (8)

Answer: Eye Bags and Circles -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Eye Bags and Circles -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Lower lid "bags"

Answer: Lower lid "bags"

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Everything you need to know about Eyelid Surgery

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I am in my early 20s and have asymmetrical bags under my eyes. What is the best way to go about fixing them? (photos)

Answers (8)

Answer: Eye Bags and Circles -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Eye Bags and Circles -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Lower lid "bags"

Answer: Lower lid "bags"

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.