Non-surgical Treatment for Undereye Bags?
Doctor Answers 46
There is No Effective Non Surgical Treatment for Under Eye 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
Under eyelid bags and dark circles can be improved
Good improvements can be made by using cheek volumization, tear trough filler and resurfacing with carbon dioxide. For a really nice improvement in the area, some patients would benefit from doing all of these procedures, but the problem can't be completely solved without surgery.
Fillers for undereye bags
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Restylane might help
At 41, you might have early tear troughs making it look like you have buldging fat bags above them. It may be that rather than needing fat removed or repositioned, you could mask the tear trough very effectively with Restylane. I have had many patients with this and they have great non-surgical results that last a year or longer.
Can undereye bags be treated non-surgically?
Many patients, however, will still have some suggestion of undereye bags after filler unless surgery is done to remove or reposition the fat that tends to herniate (or bulge) over time.
Undereye Bag Non Surgical Suggestion
Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many.
For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.
The short answer is yes!
The short answer is yes!
The longer answer is:
No two under-eye regions are alike.
The area around the eyes is one of the most unique and expressive areas of the entire face. Our under-eye region in particular gives away a lot about our emotional state, level of fatigue, and even diet! There are many ways to enhance the under eye region from simply increasing sleep, cutting down on salt, and sleeping with our head elevated. Creams, fillers, lasers, and surgery are also options. Because everyone is different, the treatment of the under-eye region must be customized for each patient.
There are absolutely ways to treat the under eye region non-surgically. Often, lower eyelid "bags" are not just the result of fat coming forward, but also volume loss in the cheek and at the eyelid-cheek junction, often called the "tear trough." This gives the appearance of a "hill" in the lower eyelid, a valley in the "tear trough" and another, often smaller, "hill" in the cheek. This anatomic configuration may lend itself very well to volume treatments, such as fat transfer and fillers. Surgery can also be used to "borrow" some of the eyelid "bags" to fill these valleys.
I find that customizing treatment--whether surgical or minimally invasive--is the way to go. A good oculoplastic surgeon must possess many ways of thoughtfully addressing lower eyelid "bags."
Non-surgical treatment for under eye bags
Lower eyelid fillers can help lower lid bags
Here is how it works. As our faces age we lose fat in our cheeks and in the area right below the eyelid bags. Fat that causes lower lid bags does not get smaller as we age. When we are young there is a smooth curve from the lower eyelid down onto the cheek. However as the cheek fat gets smaller with age the adjacent lower eyelid fat becomes more noticeable and looks like a bag. In other words our face has hills and valleys. In the lower eyelid, often the hill is not getting higher, the valley beneath is getting deeper.
That is where fillers like Restylane and Voluma come in. The filler is injected in the office to replace your cheek fat smooths the transition from the eyelid to the cheek and effectively removes the bag.
Of course you did not provide a photo, so I can not say if this treatment is the best for you. I would suggest an evaluation with a cosmetic surgeon who is experienced with lower eyelids to see what treatment might be right for you.
Under Eye Bag treatment
There are a few good ways to improve tired looking eyes. If you have bags (excess tissue or laxity under the eyelid) one option may be the use of PLEXR - a Plasma device that can be used to shrink excess lax skin of the upper and lower eyelids. This treatment is non-surgical, does not involve any scalpels, is comfortable and gets great results. Granted, the results are not as dramatic as those that can be achieved with surgical alternatives such as a standard blepharoplasty, but for the patient who does not wish to go under the knife it is a great alternative.
The procedure is safe, takes around an hour to perform including anaesthetic time to the area, and the healing time is complete within around 2 weeks. It is also a lot less costly than a surgical intervention. Whether PLEXR is right for you will be determined by your consulting physician taking into consideration your presentation and your intended outcomes.
Hope this helps!
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.