Eye Bags Treatment

Eye Bags Treatments; At A Glance

  • Best Results1-2 sessions
  • Treatment RecoveryFast
  • Procedure Time10 to 45 min
  • Skin SpecialistDavin Lim
  • Duration of ResultsVariable
  • AnaestheticNumbing
  • Back to WorkImmediately
  • Cost$$-$$$

Eye Bags Treatment

Under eye bags are often associated with dark circles. Simple treatments include skin tightening & dermal fillers. If one addresses the cause/s of the pathology, the results are predictable. Skin laxity can be treated with lasers & energy devices. Eye creams offer marginal benefits.

FactsFacts on Eye Bags Treatment

  • Prominent under eye bags are common concerns seen in young adults
  • Eye bags are often genetic, many patients have a family history
  • These are more commonly encountered in ethnic patients
  • Eye bags worsen over time due to volume loss & laxity
  • Treatment with dermal fillers provide the best outcomes
  • Some cases of fat herniation are treated surgically

What causes eye bags?

There are many causes of eye bags including genetics modified by chronological ageing. In most cases there is a family history of eye bags, or an ethnic prevalence (Indians, Sri Lankans, Middle Eastern).

There is an age related decline of collagen starting the mid 20s, hence weakening of the supporting tissue surrounding the eyes. The space below your eyes can also accumulate fluid, hence contributing to the appearance of puffy eyes. Other contributing factors include:

  • Fluid retention including salty foods.
  • Lack of sleep
  • Allergies
  • Skin irritation- atopic dermatitis, eczema, contact dermatitis
  • Smoking & poor circulation
  • Age related volume loss surrounding the eye area
  • Strong under eye muscles (orbicularis oculi hypertrophy)

How can dermal fillers treat eye bags?

Hyaluronic acid fillers can improve eye bags by hiding them. Fillers are not placed in the bags, but in the surrounding tissue. They work by volume replacement. Think of under eye bags as mounds. Fillers hide the surrounding valleys, reducing the appearance of mounds. 

Ideally I fill in 2 sessions as fillers can take up water over time. The first session addresses volumetric changes of the surrounding area. The second session (2-12 weeks later), addresses shadows & contours. The volume I use range from 1.5 to 3.5 ml, depending on the clinical features.

How can dermal fillers cause eye bags?

Dermal fillers can improve eye bags, however if placed incorrectly they can actually cause eye bags. This can be associated with Tyndall (blue colour) due to superficial placement, or with filler migration.


Hyaluronic acid has the potential to hold over 1,000 times its weight in water. Hence if a filler has a concentration of 15 mg/ml & if one ml was injected, HAs can hold 15,000mg or 15 grams of water, essentially 3 teaspoons of water. Imagine that under your eye. Hyaluronidase is an enzyme that can dissolve filler, most people will require 2 or more sessions in this area.

Davin’s Viewpoint -Treating Eyebags

The treatment for this common complaint follows a highly complex analytical pathway. There are many contributing factors from genetics, through to anatomical deficits,age, smoking, allergens, & even diet.

In general creams don’t work. At best they give a marginal improvement if there are vascular or pigment causes. Light reflecting metal including titanium dioxide & ferrous oxides can disguise eye bags by reflecting visible light.

Fillers provide the best results. The technique of treating eye bags depends on the presentation. In most cases I build up the lid cheek junction & medial cheek. This disguises the eye bag itself. If there is associated skin laxity, I tighten then fill.

Medical conditions such as contact or irritant dermatitis can worsen eye bags. In some cases medical intervention & patch testing maybe required.

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