Undereye bags in my 20s. How can I get rid of them? (Photos)

Question

Hello, I am 26 years old and I noticed I have major undereye bags. These bags make me look very old and tired. I think my case is heredity. My father also has severe amount of eye bags under his eyes.Am I too young to have eye bags removed? What treatment do you recommend? Thanks a lot!

Ritu Chopra, MD · Answer

The high point of the bag can be matched to the local tissue by injecting filler around it..... THEORETICALLY. In practice, it's harder than you might think. The problem is that the bag is very dynamically positional. Tilt your chin down and look at them. They are worse. Tilt your head back and look "down your nose" at them. They aren't even there. So with such a dynamic problem, how will a static injection be just right - all the time? But 20 is too young for bags and too young for major surgery. IF they are really bad and you are really bummed about it, a little fat reduction trans-conjuctivally might be the ticket.

Lawrence Kass, MD · Answer

Non surgical options such as treatment of the under eye hollows with Restylane should be your first option. If you are not satisfied, then you could consider conservative transconjunctival lower lid surgery.

Guy Massry, MD · Answer

Hi

	Well you have two options.  One is to take the fat prominence of the lower lid and translocate (shift) it into the hollow below - this will improve contour and appearance.  The non-surgical option is filler.  I prefer Restylane. 

	Best

	 

	Dr. Massry

Elliot M. Heller, MD · Answer

I would recommend a Trans-Conjunctival blepharoplasty. This procedure would remove any excess fat under the eye and does not require any sutures.

Nima Shemirani, MD · Answer

Dear Suz1,

	I believe a good place to start with a hyaluronic acid filler like Restylane for that area.  It will hide the bags and give a nice result that should last 18-24 months.  I would hold off on surgery until you are a little older and see how things come together down the road.

	Best,

	Nima Shemirani

Trevor M. Born, MD · Answer

Dear Suz1

	thank you for your question.  'Under eye bags' are common and can arise from the genetics in your family or with age. They can be treated with surgery or with injections.  Injections are done with Restylane- placed on the deep layer- this will eliminate the hollow under the eye, take away the tired appearance and give a nice shape to your cheek bone.  Surgery can be done through a variety of techniques- they would involve some removal of the puffing fat and some micro fat grafting to buiid up the shape of the cheek bone and eliminate the hollow under the eyes.

	With Warm Regards

	Trevor M Born MD

Undereye bags in my 20s. How can I get rid of them? (Photos)

Answers (11)