What is the best treatment for my under eye bag? (photos)
Doctor Answers 8
Lower lid eye bulge
- This is almost certainly excess fat in the lower lid -
- Since you are young, it may have been there to a small degree in the past, but just being bothersome now.
- This can be removed with a small operation called a transconjunctival blepharoplasty.
- Depending on the exam, a little excess skin may also need to be removed.
- It is probably only on one side because of inheritance.
Best wishes - Elizabeth Morgan MD PHD FACS
What is the best treatment for my under eye bag?
The problem is fat that has herniated and pushing the skin forward. It is common for this to be asymetrical. Your best option is a transconjunctival blepharoplasty on both sides with fat grafing below the eyelid. Do not even think about non surgical options such as laser etc. Please read below:
You might also like...
What to do to get rid of the bags
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
Lower blepharoplasty is your best long term option
Edema versus fat
If it is edema then you will need to be worked up for many different illnesses that can cause these issues including thyroid problems.
Infraorbital fat pad
You have a what I would call a severe infraorbital fat pad herniation. This is a completely normal variation of our anatomy. The bulge is held back by a ligament and this causes a line to appear under your eye.
I think the best option for someone your age would be to have a lower lid blepharoplasty. This will give you the best result and last the longest. You can then supplement with other treatments in the future if you have a problem again.
A non-surgical option is available but the technique is quite new. It involves fat dissolving injections into that fat pad to reduce or eliminate the appearance of it. You may then need some dermal filler to smooth it out completely.
Hope that helps bring some clarity
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.