Lower Eyelid Bags: Causes & Solutions

Lower eyelid bags can make you look tired or older than you feel. These puffy under-eye areas are often caused by a combination of genetics, aging, and lifestyle factors—but they can be improved with both surgical and non-surgical treatments. Khan Eyelid and Facial Aesthetics, led by oculoplastic and reconstructive surgeon Dr. Tanya Khan, provides lower eyelid surgery to patients in Plano, Dallas, Austin, Texas, and surrounding locations.

Common Causes of Lower Eyelid Bags

• Aging: Natural loss of skin elasticity and shifting fat pads.

• Genetics: Some people are predisposed to under-eye puffiness.

• Fluid Retention: Can be triggered by diet, allergies, or lack of sleep.

• Lifestyle Factors: Smoking, sun exposure, and dehydration can worsen puffiness.

Non-Surgical Solutions

• Dermal Fillers: Add volume to hollow areas to smooth the transition between the lower eyelid and cheek.

• Laser Treatments: Tighten skin and improve texture.

• Microneedling with PRP: Stimulates collagen for firmer skin.

• Topical Treatments: Eye creams with caffeine or retinol can provide mild improvement.

Surgical Solutions: Lower Blepharoplasty

Lower blepharoplasty addresses more significant under-eye bags by:

• Removing or repositioning excess fat

• Tightening loose skin and muscle

• Smoothing the lower eyelid contour

Recovery After Lower Blepharoplasty

• First Week: Swelling, bruising, and mild discomfort are common.

• 2–3 Weeks: Most swelling subsides; patients often return to social activities.

• 1–3 Months: Final results are visible.

Prevention Tips for Under-Eye Bags

• Get adequate sleep and stay hydrated

• Limit salt intake to reduce fluid retention

• Wear sunscreen and sunglasses to protect delicate under-eye skin

• Avoid smoking, which accelerates skin aging

Lower Eyelid Bags FAQs

Can under-eye bags be fixed without surgery? Mild puffiness can be improved with non-surgical treatments, but severe cases often need surgery.
How long do surgical results last? Results are long-lasting, often 10+ years, depending on aging and lifestyle.
Will I have visible scars? Surgical incisions are hidden inside the lower eyelid or along the lash line.

For more information about procedures and treatments at Khan Eyelid and Facial Aesthetics by Ophthalmic surgeon Dr. Tanya Khan. Click here to contact us.

Taking patients from in and around Dallas, Plano, Fort Worth, Grapevine, Garland, Mesquite, Carrollton, Irving, Frisco, Texas and more.