Reason why I suddenly got under eye bags...what type of treatment should I look for?

Question

I'm 30 years old and suddenly got under eye bags. I hate my picture being taken now and they age me so much. My mother has bags, but didn't get them until she was near 50. I've stopped smoking (about 1 year no smoking), drink plenty of water, lost about 30 lbs thus far, take vitamins, sleep enough...doing everything I can to be healthy. But there's still no improvement! I'm thinking they are allergy or weight loss related. Creams do nothing. I have struggled with hormone issues.

Elliot M. Heller, MD · Answer

I WOULD TRY FILLERS BEFORE GOING IN AND DOING SURGERY , THE DIFFERENCE BETWEEN FAT TRANSFER AND FILLERS ARE FILLER ARE LESS INVASIVE AND CAN LAST 6-9 MONTHS SOMETIMES UP TO A YEAR DEPENDING ON WHICH ONES. FAT TRANSFERS ARE USUALLY SURGICALLY DONE WITH LIPO AND TRANSFERRED TO ANOTHER AREA OF THE BODY. A FAT TRANSFER CAN ALSO BE DONE THROUGH A LOCAL AFTER SURGERY FOR A REPEAT FAT INJECTION. FAT INJECTIONS OR TRANSFERS ARE USUALLY MORE PERMANENT. THIS IS SOMETHING THAT YOU MAY WANT TO SPEAK TO YOUR DOCTOR ABOUT IN A CONSULTATION AND SEE WHAT YOUR OPTIONS ARE.

Jason Emer, MD · Answer

I suggest you see an expert for treatment this is easily treated with lasers, microneedling, fillers and skin care.  Best, Dr. Emer.

Mehryar (Ray) Taban, MD, FACS · Answer

Consider transconjuctival lower blepharoplasty with fat repositioning. This scarless technique removes the bags while filling the hollow dark circles below the bags. See video and link below.

Kenneth D. Steinsapir, MD · Answer

I do not think you are ready for eyelid surgery.  However, if you insist on knocking on enough doors, someone will operate on you.  You are missing deep volume in the buckle fat space at the top of the cheek.  Hyaluronic acid filler there and a small amount of volume in the under eye circle will restore the volume you are looking for.  This is likely to work as a solution for you for the next 10 to 15 years.  Find a very experienced injecting cosmetic surgeon who a track record of injecting the under eye hollow.  It is a bit fussy.  You are asking this person to sculpt your face.

John J. Martin, Jr., MD · Answer

These can occur at any age depending on your anatomy.  Allergies can make them worse.  You will notice that you have a deep tear trough.  Putting some HA filler such as Restylane into this will help to smooth out the area and decrease the dark circles.  It should last about a year.

Mathew A. Plant, MD, FRCSC · Answer

Without examining you it is difficult to be certain but based on the photos it looks like you could have some filler injected into the tear troughs to camouflage them. Eventually you would probably need a lower blepharoplasty to correct things definitively. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to see what your options are. Best of luck!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing you concerns and photo. Your lower eyelid bags probably are related to aging, genetics and gravity. Fortunately, they are easily correctable by an experienced eyelid specialist. Restylane can be injected with immediate results and almost no downtime. Result will likely last 6 months. Good luck,

Keith Denkler, MD · Answer

Weight loss and smoking plus genetics contribute to development of lower eye bags.It is more from a loss of tissue below the eyes that makes the eye bags protrude.Fillers into this area will provide a pleasing result.Best wishes,Dr. Denkler

Angelo Tsirbas, MD · Answer

Hi there,There are multiple reasons for the development of dark circles and lower eyelid bags. You are correct in ensuring you have adequate sleep & nutrients, as this is certainly a variable. Other variables include herniation of eye socket fat, loss of volume in the face, gravity effects, tissue dehydration and stretching of the skin.Treatment options include minimally invasive procedures such as volume restoration (dermal fillers), anti-wrinkle injections, peels and eye creams. However there is also the option of a Transconjunctival Blepharoplasty. Transconjunctival Lower lid Blepharoplasty involves making the incision behind the eyelid. This is the most ideal procedure for younger patients or those with very little redundant skin on the lower eyelid. The incision is then used to access the prolapsed orbital fat for repositioning or removal. Thank you.

Gaby D. Doumit, MD · Answer

Thank you for sharing your concerns with us. The reason why have eye bags as that age is because your cheek bone are not strong. it is a common problem that I see in my practice. Even at this age you will benefit from a blepharoplasty. Good luck

Reason why I suddenly got under eye bags...what type of treatment should I look for?

Answers (11)

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