Treatment for Bags under the Eyes
There are many different options- most of which have undergone significant advancement in the last decade or so. The best solution must be customized and individualized for each patient.
For someone with mild volume loss below the eyes (tear trough), hyaluronic acid fillers such as Restylane or Juvederm are excellent. In the occasional patient with excessive lower lid fat pads, a transconj. blepharoplasty with incision behind the lid may be a great option to reduce the bags. In others who have excess skin laxity and hollows below the eyes, redraping the existing fat, supporting the muscle and trimming the skin conservatively (blepharoplasty with fat transposition) is often the way to go. When the bags are lower in the midface (festoons), other options are more appropriate.
The good news is that there are many state-of-the-art options ranging from non-surgical to elaborate surgical procedures.
An Oculoplastic Surgeon (see ASOPRS) will very likely be highly experienced in the full range of possibilities for bags under the eyes.
Mark Lucarelli MD FACS
Solutions for Bags Under the Eyes
Bags under the eyes are caused by fat around the globe pushing forward on the weakened septum of the lower eyelid. The traditional method for dealing with this problem was to remove enough of the fat to allow the bulge to retract to its more youthful position. A more modern method is fat redraping. In this procedure the septum, which is a fibrous supportive structure in the eyelid, is divided from its bony insertion on the bone underneath the eye. The fat is teased out and laid over the bone. This does two things. First it displaces the fat causing the bulge and second it improves the tear trough deformity or the depression below the bulge.
I really try to perform fat redraping as often as possible. However, not all eye fat is the same and sometimes it doesn't redrape smoothly and has to be removed instead. Both procedure work well and you surgeon can discuss which is best for you.
There is no one best solution. It is individualized for the patient. In my practice, the top nonsurgical treatment is Restylane, combined either with Botox or Radiesse to further rejuvenate the aging face. The surgical treatment is lower lid blepharoplasty which can also be combined with nonsurgical treatment of other parts of the face. See a board certified plastic surgeon in consultation to explore your options.
Options for Bags under eyes...
The "Most Popular" is very subjective... Depending on your condition I would highly recommend going to get a consultation with an experienced Board Certified Plastic Surgeon. Common options are surgery, and Hyaluronic Acid fillers like Restylane.
Dr. Grant Stevens