What is the Best Treatment for Bags Under the Eyes?

I have heard that Restyline is preferred over Juvederm?

Doctor Answers 6

Eyelid bags

The best treatment for lower eyelid bags is removal of the fad pads.  This is done thru a transconjunctival incision located on the inside of the eyelid.  We have seen many complications from fillers injected into the eyelids and do not recommend them

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Restylane vs Juvederm, under eyes treatment

I agree that Restylane will pose less of a risk for injection under the eyelids as it attracts less water; thereby diminishing the risk of swellling or bumps from injection.

Radiesse, Artefill , Sculptra or fat injections are other good options.

Please consult in person with an experienced Board Certified Plastic prior to making any treatment decisions.


Luis A. Cenedese, MD, FACS
New York Plastic Surgeon
4.5 out of 5 stars 19 reviews

Restylane vs. Juvederm

Either Restylane or Juvederm can be used under the eyes, but I prefer Restylane because Juvederm can attract water to it and cause unpredictable, possibly lumpy results. It really depends on who is injecting the substance and their experience. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Treatment of eyelid bags

There are many solutions to lower eyelid bags, and the right answer for you depends on your anatomy.  If you have a major bulge of the lower eyelid structures, it is unrealistic to think that a filler injection will solve the problem.  In my practice we are seeing an increasing number of patients who were treated with filler in this area and all they have obtained is an extra bulge that needs to be reduced with a substance that melts the filler.  Filler works quite well if there is a subtle hollow beneath the lower eyelid ( so-called tear trough), but technique is important.  The choice of filler depends on the surgeon's experience, but there is a general trend away from more robust filler is this location.  If the doctor who is going to treat you doesn't know what this means, find someone else to treat you.

John Q. Cook, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 12 reviews

Best Treatment for Eye Bags

Hi Alknah.  As Dr. Echavez points out, there is more than one option for eye bags and it depends on the patient and practitioner for which one is the "best" option.  

In many cases for our patients, it is an issue of how much they want to spend or whether or not they are open to surgery.  In many cases, a patient would benefit from surgery, but is not ready to go that route or is financially unable.  In this case, we use Restylane to improve the situation and we use this until they are ready to consider a surgical route.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Best treatment for bags under the eyes

There is no one best treatment for bags under the eyes, as each person is different and each person may require different treatments.  Sometimes bags under the eyes can be improved with surgery.  If you are only looking at non-surgical treatments, then fillers can be sometimes used.  Restylane is not necessarily better than Juvederm.  They are just different brands of the same material.  Belotero is another brand of the same material as well.  Some doctors may have a preference for one brand over the other, but all of them should work well under the eyes and be equally effective.

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.