I have under eye bag under one eye. How Can I fix it? (photos)

Question

My right eye has under bags that really visible when smiling. I’m 23 years old. I know it’s genetics and asymmetrical issue. How Can I surgically fix this?

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

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!

Sam Lam, MD, FACS, FISHRS · Answer

Looking at your photos, you really don't have an eyebag.  You have hollowness under the eyes that is casting a shadow.  I would recommend all-natural and reversible fillers like Restylane (hyaluronic acid).  In the past, I used to use Bellafill but found that in small percentage of patients I had some serious issues that caused me to abandon it.  I also find that Belotero simply just disappears too quickly.  Radiesse can cause problems with redness and whiteness that can be seen.  Juvederm causes too much swelling and is inaccurate.  Bottom line is that Restylane in my hands works the best.  I use only cannulas around the eyes, which are blunt needles.  I think there is tremendous risk around the eyes using needles including risk of vision issues, pain, bruising, and inaccuracy.  I perform this procedure several times a day and have done it for my entire staff, young patients like you, my wife, and my parents.  The key question is how long does filler last?  Interestingly, I have seen in many cases it can last years after it has been built up a few times.There is tremendous value with this procedure but the key thing is to have the right injector.

Camille Cash, MD · Answer

Before proceeding with surgery you may first want to try fillers.  This is a non surgical approach, and while not permanent, it can provide results that last up to one year.  Fillers can add volume to hollow areas and disguise irregularities.  I recommend visiting with a board certified plastic surgeon in your area to learn more.

I have under eye bag under one eye. How Can I fix it? (photos)

Answers (4)

More Eyelid Surgery Questions

WE SEND PRETTY
EMAILS

Answers (4)

More Eyelid Surgery Questions

Blepharoplasty, maybe brow lift on one side? (Photo)

Can I get rid of under eye and cheek dents? (Photos)

How much down time is there for lower eye bag surgery and when can you go back to work?

Which treatment is best for my sagging eyelids? (Photo)

Eyelid surgery with Plasmage? (Photo)​

I'm 20 and have droopy hooded eyelids with folds (Photo)

WE SEND PRETTY EMAILS

Eyelid surgery with Plasmage? (Photo)

WE SEND PRETTY
EMAILS