POSTED: 16 Nov 2018

What’s Up With My Skin?… Under Eye Bags

Under eye bags are probably one of the most common but hardest things to treat. This puffiness or swelling under the eyes can be caused by a number of reasons and the key to improving the appearance of under eye bags is to know this. In this second installment of our #allaboutheeyes series we’re exploring the causes of under eye bags and how to minimise them.

Causes of Under Eye Bags

Under eye bags are swellings in the lower eye lid area which can give the appearance of puffiness or dark circles under the eye. These can be caused by a variety of reasons including genetics, health problems, lack of sleep, smoking or fluid retention. There are of course “pseudo under eye bags” which are actually caused by volume loss in the mid-face that gives the illusion of under eye bags. This is super important to keep in mind since the treatment of under eye bags depends on the cause.

The commonest reason for under eye bags is actually “pseudo under eye bags” which are generally caused by normal processes such as ageing or weight loss. These are due to thinning of the fat pad in the cheek area which then descends downwards leaving behind a “tear trough deformity’. This is simply a line of separation between the lower eyelid and the cheek. This trough gives the illusion of fullness in the region above it causing the appearance of an under eye bag. Ageing also causes loss of collagen and elasticity in the skin in the undereye skin. This leads to sagging of the skin in this area which gives the appearance of under eye bags and swelling.

Genetic causes of under eye bags are usually due to being born with thin under eye skin, a propensity to have swelling or a low lying cheek fat which gives a tear trough deformity or excess fat tissue under the lower eyelids. All of these things can result in swelling or puffiness in the under eye area and most people will have experienced these from an early age.

Under eye bags can also be caused by medical problems such as kidney, heart or liver conditions that cause fluid retention which results in swelling under the eyes. Allergies also cause thickening of the skin under the eye area as well as swelling in this region.

If your under eye bags are not constant and get worse at certain time then lifestyle changes might be driving them. Things like smoking, alcohol, lack of sleep and diet may result in fluid retention which creates puffiness in the under eye area.

How To Get Rid Of Under Eye Bags

As you can see there are a whole lot of problems that can cause under eye bags and obviously choosing the best treatment is dependent on the cause.

Under eye bags and dark circles caused by tear trough deformities are best treated using professional treatments such as tear trough and cheek fillers. If your under eye bags are due to health problems then the best treatment is to treat the underlying issue. This is also the same for lifestyle related under eye puffiness. For under eye bags due to heriditory causes then there are a few options. These range from makeup techniques which minimise the appearance of the bags or to skincare tretaments which can help reduce swelling or dark circles. Professional treatments that can help may include laser, tear trough or cheek fillers if the under eye bags are caused by thin skin or surgery if the cause is excess fat.

We hope you’ve enjoyed our latest edition of what’s up with my skin focusing on under eye bags and puffiness. We’re still not done with this are so we’re all about the eyes next week too!! Keep an eye out (excuse teh pun) for more guides on hooded eyes, brow reshaping, smile lines and much more!!

Leave us a comment below if you have any questions about under eye problems that you want us to answer on in our blog and our weekly fuss-free beauty Q+A on our Instagram (IGTV).

What next?

Find out more about under eye circles bags and tear troughs on our skin concerns pages and check out our last post on how to get rid of under eye circles and shadows.

If you fancy reading more on tear trough fillers check out our insider’s guide to tear trough correction and take a peak at our Teosyal Redensity II information page.

Authored by:

Dr Amel Ibrahim
Aesthetic Doctor & Medical Director
Founder City Skin Clinic
Member of the Royal College of Surgeons of England
Associate Member of British Association of Body Sculpting GMC Registered - 7049611

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