Non-surgical Treatment for Undereye Bags?

Thank you for your important question.

Puffiness of or Bags Under Eyes is a structural problem caused by excess or herniation of eyelid fat bulging against the eyelid skin.

This fat must be repositioned and or removed to remove the puffiness or bag.

Do not believe ads that say a cream or laser treatment will remove puffiness or eye bags-they will not.

Fat injection and Filler injection such as Restylane can camouflage the problem but injections into the eyelid can be dangerous and should only be done by an expert who is familiar with this technique

There are non-surgical treatments to help improve the lower eyelids if the bags are slight. If the bags are more pronounced, however, none of these non-surgical treatments address the cause and permanently resolve the issue the way that blepharoplasty surgery does. Undereye bags most commonly are caused by herniation of the lower-eyelid fat pads which protrude through the muscles under the eyes. The nonsurgical options are not as effective or long lasting, but can help in cases that are not too severe. Someone with mild undereye bags might benefit from having filler injected below the bag to fill in the step-off created by the herniated fat. Another option is to tighten the loose skin with treatments that stimulate collagen formation, such as microneedling with RF (radiofrequency). These procedures are performed in a treatment room and require only minimal downtime. In some cases, the “bags” are actually darker skin caused by pigmentation, in which case, peels or lasers could help to diminish the pigmentation. I recommend consulting in person with a board-certified plastic surgeon to discuss your concerns and goals and see which treatment or combination of treatments would be right for you.

Hello. Thanks for you question and photos. As you know, noting can replace an in-person exam and you should consult a certified and experienced doctor. You can get rid of undereyes bags using fillers to get volume. Also, you can get amazing results inyecting fillers in your cheek, to pull up the skin in the area and other treatment as Hollywood Peel, laser or microneedling. Good luck!