How can I fix the puffy eye bags under my right eye? (Photo)

Question

Hello, I am in desperate need of an answer. For the past few years, my right under eye bag has been fat & bulgy. It's gotten to the point where I can't even take pictures anymore, due to the embarrassment. What's going on here? Is this a sinus issue, or does this need to be surgically removed, and if so, what's the general cost of the procedure? Thank you.

Tanveer Janjua, MD · Answer

It is important to see an eye doctor (ophthalmologist) to ensure general eye health. After that you have two options, filler injection under the eye or lower eyelid blepharoplasty.The bulge under the eye is excess fat that can be removed surgically to flatten the skin.RegardsDr. J

John J. Martin, Jr., MD · Answer

While it is unusual to have puffiness on just one side, this can occur.  You need to be seen in person to see if anything else might be going on.  If everything else is fine, you can certainly improve the appearance with either fillers or surgery.

Kenneth D. Steinsapir, MD · Answer

Surprisingly there are many causes of lower eyelid bags.  This means without an actual physical exam which would immediately ascertain the cause of this contour issue, it is not possible to know what underlies this particular contour problem and, by extension, what the best solution will be.  Rest assured though, it can be helped.  First let's recognize that in your photos you are looking up.  This will always make lower eyelid contour issues look their absolute worst.  Put your finger on the top of the bulge.  If it is hard, you are feeling the orbital rim. Generally these are best helped by filling the hollow under the bulge.  If the bulge is soft, it may very well be orbital fat, these are best addressed with an arcus marginalis release surgery.Look for a well qualified eyelid surgeon to assess your issue and remember that the best treatment for this may not be surgical.

Michael I. Echavez, MD · Answer

Without examining you and knowing more about your medical history, I cannot tell you what might be causing the puffiness under your right eye.  If there is no medical issue involved, it is most likely due to some herniated fat under that eye.  Treatment options would include injecting a filler, such as a hyaluronic acid filler, under the bag to help camouflage it or to have surgery to deal with the fat.  Surgery would be a more long term solution that the filler.

Kami K. Parsa, MD · Answer

Hi AngelinNJI recommend you be fully evaluated by an oculoplastic surgeon. Have you had your thyroid checked? Don't just jump into surgery. Once fully evaluated you can think about different surgical options.Let us know if you have any questions. You can learn more about lower eyelid surgery from the link below

How can I fix the puffy eye bags under my right eye? (Photo)

Answers (5)