Eye Bags Treatment

Latest update: February 27, 2024
Medically reviewed by: Jordan Frey MD


There are various medical and surgical options for the treatment of under eye bags. These treatments add volume, eliminate wrinkles, and tighten the skin in this delicate area to create a plump and youthful appearance.

Non-surgical options:

Injectable dermal fillers, containing Hyaluronic Acid, are injected into the under-eye area to add volume to this sunken area. The procedure requires a topical or local anesthetic to lessen any discomfort. The results can last 6-12 months.

Botox can also help to relax muscles and reduce the appearance of wrinkles around the eyes. When injected into the brow, it can create a more lifted and ‘awake’ appearance.

Laser resurfacing vaporizes the surface layer of pigmented and wrinkled under eyes. As the skin renews itself, it produces collagen to create a lifted and firmer under-eye area. The results can last for years.

Chemical peels may consist of alpha and beta hydroxy acids to resurface the wrinkled skin around the eyes. The acids break down and remove the old skin cells to regenerate and revitalize the skin. The results can last a few years.

Microneedling is another option that creates controlled micro-injuries around the eye. It stimulates collagen and elastin production to firm and tightens under eye skin.

For patients that prefer topical options, retinol, Vitamin C, caffeine, topical hyaluronic acid, and antioxidants can help improve the appearance of under eye bags. 

Surgical options:

Blepharoplasty can help remove excess fat around the eyes, which causes under eye bags and dark circles. It can also tighten the muscles around the eye to create a firmer and wrinkle-free appearance. Surgeons use two main techniques in this procedure. 
The first technique is the transconjunctival approach. Surgeons make an incision in the lower eyelid and remove any excess fat. They shift the remaining tissues to fill the eyelid. The procedure will not require stitches and takes 1-2 weeks to heal. This technique is unsuitable for patients who suffer from lax and sagging skin.

The transcutaneous technique creates an incision below the lash line to remove fat and tighten the area. Once completed, the site is closed using sutures or surgical glue. This technique is more suitable for older patients that have lax skin. 

Blepharoplasty can be performed under local or general anesthetic. Patients will usually experience swelling and bruising immediately after the procedure.
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Tear Trough Filler and Concealing Dark Circles (2021)

This video shows a patient getting Tear Trough Fillers to conceal dark circles under her eyes. Scarlett comes to Dr. Rupert at VIVA Skin Clinic in Tunbridge Wells, U.K, to fix the problem of dark circles under her eyes. Her concern is that they look puffy and that they make her look tired. Dr. Rupert examines Scarlett's face and explains what the treatment plan is. The video shows the steps of the procedure from beginning to end and the results.