My under eye bags are heavy and make me feel tired all the time on top of being ugly to look at. What are my options? (Photo)

Question

I have tried cremes, sleep, etc but no matter what they feel very heavy and I can’t seem to get rid of them no matter what. It is affecting my everyday life now since I constantly look and feel tired in my eyes but not the rest of me! Reading through comments here, there seems to be multiple types of reasons for bags under the eyes. Can you give me an idea by looking at the pictures of me what type I have and my options available? I am ready to do anything!

Camille Cash, MD · Answer

Based on your photos I think your best option is surgery.  With a lower blepharoplasty excess skin and fat is removed.  Remaining fat is redraped revealing a smoother under eye.  You can try non surgical options such as the ALMI treatment which uses your own tissue to improve volume, tone and texture.  Fillers are also an option, though temporary.  I recommend beginning with a consultation to determine what is best for you.

Jonathan Kulbersh, MD · Answer

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression.
I hope this helps!

Mehryar (Ray) Taban, MD, FACS · Answer

The ideal treatment to address both under eye fat bags and tear trough hollowness is transconjunctival lower blepharoplasty with fat bags repositioning to fill the hollow area. See following surgical video and website link. See an oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

This could be addressed with lower eyelid surgery.  It could also be addressed with a chemical peel or possible a combination of the two.  If you were motivated, I suspect you could also be filler but this nonsurgical approach will be fussy and you are unlikely to find an injector close to home who can get this done for you in a satisfactory way.

Mitesh Kapadia, MD, PhD · Answer

You have excess fatty tissue under your eyes which is making them look puffy. It looks like you are a good candidate for lower blepharoplasty surgery. A skin pinch may also help with the loose skin but you would need an in person evaluation to determine an exact plan. Make sure to find a surgeon experienced in eyelid surgery.

My under eye bags are heavy and make me feel tired all the time on top of being ugly to look at. What are my options? (Photo)

Answers (8)

Answer: You have options.

Answer: You have options.

Answer: Under eye bags

Answer: Under eye bags

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My under eye bags are heavy and make me feel tired all the time on top of being ugly to look at. What are my options? (Photo)

Answers (8)

Answer: You have options.

Answer: You have options.

Answer: Under eye bags

Answer: Under eye bags

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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.