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What is the best surgery for under eye bags?

I am a 40 year old male and I have under eye bags. What is the best surgery for under eye bags?

9 Answers

Usually the herniated fat (in the bags) is either removed or repositioned
Traditional lower blepharoplasty is the gold standard for addressing the bags or festoons that result as we fight time and gravity. There are also several non-surgical options that we use to tighten the skin if patients want to avoid surgery
There are many ways to address under eye bags both surgically and non surgically. I have found the best way to surgically address under eye bags is through a transconjunctival (inside the eyelid incision) blepharoplasty with fat repositioning. In this surgery the puffy under eye bags are removed and/or repositioned into the upper cheek and tear trough area. This simultaneously reduces the puffiness while also replenishing the areas of volume loss in the tear trough and upper cheek. I will often perform laser to the eyelid skin at the same time to get additional tightening.
This is a common condition and often has genetic implications as in your mother or father probably had bags as well. Blepharoplasty is the name of the surgery which plugs out pillows of fat that are causing the bags.
The best procedure for fat pads under the eyes is a blepharoplasty. This is a procedure that removes the excess fat and skin. In addition, frequently, the muscle need to be tightened as well.
While there are several options for lower eyelid "bags", the gold standard is a surgical procedure called blepharoplasty. This procedure, through a small lash line incision, both removes the excess fatty tissue and tightens any loose skin if necessary. The procedure can be performed under many types of anesthesia including local anesthesia. It is a relatively pain free recovery with potential bruising for 5 to 8 days on average. The results can be dramatic in erasing the many telltale signs of eyelid aging including puffiness, dark shadowing, or skin laxity.
This is incredibly dependent on several factors. However, generally speaking, the bags are caused from excess eye fat that pooches forward over time. This fat is either conservatively removed or transferred to a new position to create a smooth under eye contour. I recommend you see a board-certified facial plastic surgeon to see what would work best for you.

Take care,

Dr. C
Hi, it is considered a lower blepharoplasty. You may contact the office to schedule a consultation.
It really depends on the amount of excess fat and excess skin that you have. If the problem is solely excess fat, this can be addressed via a trans-conjunctival approach which means removal of the fat from inside the eyelid.