Under eye bags are harsh for my age (28) - can I reduce them without surgery? (photos)

Question

How could I feminize my face and improve symmetry? Is that possible with fillers/Botox alone? Is surgery the only option? I think smoothing the fat around my eyes may have the largest impact to my appearance. I constantly am asked if I am tired.

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.

Nima Shemirani, MD · Answer

Hi @Arya33! I would recommend a lower blepharoplasty.  A lower blepharoplasty is a procedure in which skin and/or fat is removed in order to reduce lower eyelid wrinkles, skin redundancy, and fat bulges. I hope this was helpful!

Michael I. Echavez, MD · Answer

The puffiness you have under your eyes appears to be due to protruding fat.  This issue can be due to hereditary issues, so it is not always age related.  Surgery would be the most direct treatment and would target the fat directly to reduce the bags. The result is also normally long lasting.  Fillers can be used by placing them under the puffiness to try and camouflage the bags, but this is more of a short-term solution.  I normally use Restylane in the under eye area and results can last about a year.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Thanks for your questions. I see what you're referring to. Fillers work well to camouflage the area but care needs to be taken to ensure the correct product is used. Something too stiff may actually look OK at rest, but add to the fullness with expression. Morpheus 8 RF microneedling may provide some toning to the area. A lower blepharoplasty would likely be the best option, though. This reduces the fat and really provides a nice result. Hope this helps you!

Camille Cash, MD · Answer

Thank you for your questions and photos.  It appears you will have the best result from a lower blepharoplasty which would address the herniated fat as well as the excess skin.  You can try under eye fillers.  It wouldn't have the same impact as surgery but may bring temporary improvement.

Under eye bags are harsh for my age (28) - can I reduce them without surgery? (photos)

Answers (5)

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