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TREATMENT OF BAGS UNDER THE EYES (PUFFY LOWER EYELIDS)

Many patients complain of having “bags” under their eyes, which make them look tired. Friends, family or co-workers may ask you if you are tired even after you have had a full night of sleep and feel great. Bags under the eyes may get worse when you are tired or have allergies, but the real issue is a structural problem in the anatomy of the eyelids.

Depending on the specific problem and patient wishes, bags under the eyes may be treated using surgery (lower blepharoplasty) or non-surgical approaches (non-surgical blepharoplasty). Lower blepharoplasty surgery is performed to reduce puffiness and wrinkles in the lower eyelids. Fatty tissue is normally present in the space behind the eye and probably evolved to help cushion the eye in minor impacts. The barrier which keeps fat behind the eye can weaken, allowing fat to come forward into the lower eyelids. This produces an aesthetically unpleasing fullness to the lower eyelids, frequently referred to as eyelid bags or bags under the eyes. Lower blepharoplasty may be performed through an incision under the eyelashes or an incision on the inside of the eyelid. Excess fat can be removed to reduce puffiness from either type of incision. If the surgery is performed through an external incision, excess skin can be removed as well, reducing lower eyelid wrinkles.

Non-surgical blepharoplasty is performed by using an injectable gel (Restylane) to help camouflage puffiness in the lower eyelids. In patients with prominent eye bags, the goal is to improve the transition zone between the lower eyelids and the cheeks, reducing the appearance of the eye bags without actual fat removal. The procedure works best in patients with mild to moderate puffiness in the lower eyelids and in patients in their 30s and 40s, though older patients can often still be treated in this manner. Patients with more severe puffiness in their lower eyelids are usually best treated with lower blepharoplasty surgery, while patients with milder amounts of puffiness can usually be treated with non-surgical blepharoplasty.

Eye Bags - Puffy Lower Eyelids FAQ

Is the treatment of bags under the eyes ever covered by insurance?

No. Lower blepharoplasty and non-surgical blepharoplasty are considered cosmetic procedures and are never covered by medical insurance.

How do I know which treatment for bags under the eyes is best for me?

An in person consultation is needed to determine which procedure is best for a particular patient.

If I am a candidate for non-surgical blepharoplasty, can the procedure be done at the same visit as my consultation.

Yes. Most people can have a treatment the same day as their consultation. Patients should be off all medicines that thin their blood including aspirin, motrin, alleve and vitamin e for at least 2 weeks prior to treatment.

Before and after photos of patients who have had surgery by Dr. Kapadia are available in the photos section of this website.