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What Causes Under-Eye Bags & How Can You Get Rid of Them?


Under-eye bags are a common cosmetic concern that can affect both men and women as they age. While they are not usually a sign of a medical issue, they can make you appear tired, stressed, or older than you feel. Understanding what causes under-eye bags—and the most effective treatments to address them—can help you achieve a more refreshed and youthful look. 

What Causes Under-Eye Bags? 

Under-eye bags are typically caused by a combination of factors, including: 

1. Aging 

As we age, the tissues around the eyes weaken, including some of the muscles supporting the eyelids. Fat that helps support the eyes can shift forward into the lower eyelids, causing the lids to appear puffy. Additionally, the skin loses elasticity and collagen, often leading to sagging and fluid accumulation. 

2. Genetics 

For many people, under-eye bags run in the family. If your parents or close relatives have them, you may be more likely to develop them at an earlier age. 

3. Lifestyle Factors 

Lack of sleep, high-sodium diets, excessive alcohol consumption, smoking, and allergies can all contribute to under-eye puffiness. These factors may lead to fluid retention or inflammation around the eyes, intensifying the appearance of bags. 

4. Medical Conditions 

While less common, medical issues such as thyroid problems or chronic sinus congestion can also cause puffiness around the eyes. If under-eye bags appear suddenly or are accompanied by pain, redness, or itching, it is important to consult a healthcare provider. 

Non-Surgical Solutions 

Mild to moderate under-eye bags can often be managed with lifestyle changes and non-invasive treatments. Here are a few options: 

While these methods can help temporarily, they may not address the underlying structural changes that can cause more pronounced under-eye bags. 

Surgical Treatment: Lower Blepharoplasty 

For long-lasting improvement, lower blepharoplasty is considered a viable and highly effective solution. This popular cosmetic surgery targets excess skin and fat deposits beneath the eyes to smooth the under-eye area and restore a more rested appearance. 

What Is Lower Blepharoplasty? 

Lower blepharoplasty involves the precise removal or repositioning of fat, tightening of loose skin, and in some scenarios, adjustment of the muscles beneath the eyes. This procedure can be tailored to each individual’s anatomy and aesthetic goals and can be performed through incisions hidden inside the lower eyelid, just below the lash line, or along the natural crease of the eyelid. It can also be paired with upper eyelid surgery for more comprehensive revitalization.

Following surgery, most patients can return to their normal, non-strenuous activities within 10 days or less. Swelling and bruising are common during the initial recovery period but generally diminish with time and proper rest. To promote optimal healing, more strenuous activities and vigorous exercise should be avoided for several weeks.

Who Performs This Surgery? 

For high-quality results, it is crucial to choose a surgeon with specialized expertise in eyelid surgery. Dr. Albert Cytryn, a board-certified oculoplastic and facial plastic surgeon, is highly experienced in performing lower blepharoplasty procedures. With dual specialization in both eye-related and facial cosmetic surgery, Dr. Cytryn is uniquely qualified to deliver natural-looking outcomes while prioritizing both aesthetics and eye health. 

Patients seeking rejuvenation of the under-eye area can benefit from Dr. Cytryn’s personalized approach, meticulous technique, and deep understanding of facial anatomy. Whether you’re experiencing early signs of aging or more advanced under-eye bags, he can develop a customized treatment plan to help you look as vibrant as you feel. 

Ready to Rejuvenate Your Appearance?

Under-eye bags are a normal part of aging, but that doesn’t mean you have to live with them. From simple at-home remedies to advanced surgical solutions such as lower blepharoplasty, there are a variety of ways to restore a smoother, more youthful look. 

If you’re considering treatment for under-eye bags, schedule a consultation with Dr. Cytryn to explore your options. With the right care and expertise, you can say goodbye to tired eyes and hello to a brighter, more refreshed you.