After surgery to remove lower eye bags, will they return? I am 57 y/o.

Obviously, your skin will continue to age, but the fat bags shouldn't return. What I tell patients is that surgery will take about 10 years off your eyes and that will always be the case but as you get older, so will your eyes. They'll just continue to look 10 years younger than they would have without surgery. Hope this helps.My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Cindy,Most cases of lower eyelid bags after age 40 are due to  fat pushing from around the eyes into the lower eyelid space.This can make you appear tired even when you feel fine inside. Fillers could help temporarily but the best option would be surgery to remove or reposition the prolapsing fat in this area. Fat removed will not regrow but residual fat can aging changes around the eyes can cause the lateral fat pad to push forward over a decade or more. But the majority of your issue would be help for a decade or longer with surgery correction at this time.I hope this was helpful.

Very few aesthetic surgical procedures should be thought of as a "one and done" type of treatment. That said the duration of benefit from lower eyelid blepharoplasty tends to be measured as many years to even decades. Every patient is different from a standpoint of their anatomy and how much surgery can be safely performed so I would discuss this question during your surgical consultation.