Can a physician diagnose the cause of under eye bags - whether it is allergic/sinus/medical or aging?

I've always had allergic dark circles since childhood, but since early adulthood, I developed moderately pronounced bags, yet off and on. It seems like surgery would be pointless if the cause is allergies, yet I am not sure if it's possible to really know this just from examination.

Doctor Answers 3

What is the cause of the lower eyelid bags?

Thank you for asking your question. The lower eyelid bags are fat. This can be caused by genetic factors and the aging process. Allergies and sinusitis do not cause bags, but can slightly increase the appearance of the bags due to swelling. This swelling can be treated with cold compresses and antihistamines, but only surgery can remove the fat. I hope this helps.
Good luck,

New York Oculoplastic Surgeon
5.0 out of 5 stars 132 reviews

Very simple, there is no such thing as allergic shiners.

Your sinuses and allergies does not cause your under eye issues unless you chronically rub your eyes.  A photograph would be invaluable to provide a more meaningful response to your question.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Can a physician diagnose the cause of under eye bags - whether it is allergic/sinus/medical or aging?

Yes, typically the cause of your eyelid bags can be diagnosed during an in-office physical examination and review of your medical history.  Sometimes the patient may have an eyelid bag but the appearance worsen with seasonal allergies, increased sodium intake, etc.  

The attached link provides more inforamtion.

I hope this helps

Timothy R. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 63 reviews

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