Inescapable Undereye Bags - can I have a lower bleph at 20? (Photos)

Hi there,
When it comes to under-eye puffiness or fat pads, it’s not really about age — it’s about the degree of anatomical deformity. In your photos, there is visible lower eyelid fat herniation, which can understandably be quite bothersome, especially on a younger face.
This is, of course, an elective procedure, not something urgent — but if it affects your confidence, a lower blepharoplasty can absolutely be considered, even at your age, as long as it’s done conservatively and by an experienced surgeon.
Personally, I don’t recommend filler in the under-eye area, especially in patients with true fat protrusion. Fillers can often worsen puffiness or block lymphatic drainage, leading to prolonged swelling and unnatural results.
Fat transfer can be useful in select cases, especially when combined with surgery — either to fill the tear trough or smoothen lid-cheek transition. During blepharoplasty, we can also reposition or sculpt the existing fat to restore harmony in that region.
Sharing a few example cases may help you better visualize the options. Hope this helps!