Why do we get bags under our eyes ? 

Under-eye bags are due to different factors, including :
– Genetics.
– With age, malar cheek fat descends, leading to a loss of support around the cheekbone.

picture facial fat fall
– Under-eye fat prolapse.

picture anatomy bags under eyes

– Sagging skin and lower eyelid loss of tone.

picture bags under eyes

schema bags under eyes

With the passage of time, the lower eyelid lengthens due to sagging skin, and the loss of fatty support tissue. Hester’s classification of midfacial aging :

picture stages of gravity of bags under eyes

Theer is no real way to avoid under-eye bags. It is important to live healthily: avoid tobacco and alcohol, follow a balanced low-salt diet, get enough sleep, and exercise regularly.

Non-surgical treatment for under eye-bags

The lower eyelid skin can be thickened through laser treatment sessions. 4 sessions of fractional ablative laser ( rarely continuous laser ) treatment at an interval of  1 ½ months are necessary.
Hyaluronic acid injections lift the cheek ( or malar ) fat, restoring the volume of the cheekbone. By filling, or reinforcing ( depending on the patient ) bags and circles, bags are disguised. The quality of the result depends on the doctor’s skill and the product used. Only one session is needed.
Not all under-eye bags can be treated medically. Cases of severe prolapse require surgical ablation, whilst severe drooping of the malar fat may require surgery.

Side effects and risks of hyaluronic acid injections for under-eye bags

There are only mild side effects to the injections, and slight swelling or temporary bruising (which may last a couple of days) is rare. There is no down time.
The side effects to laser treatment depend on the strength used. This is agreed with the patient, and depends on the extent of sagging to the eyelids, the skin’s colour, and the side effects which the patient is prepared to accept. Down time varies from 1-4 days, although redness may last for up to a week. Tiny crusty scabs only rarely appear and these will disappear in a few days.
The doctor must have technical mastery.
The risk of burning and scarring exists for laser treatment, whilst the treatment might not be effective if the laser is too weak.
Injections of hyaluronic acid risk aggravating the bag, or giving uneven results, persistent under-eye swelling ( if the product is very hydrophilic, injected in the wrong place, or in too great a quantity ), or even in an unnatural result.

Results of traitement for under-eye bag treatment

Hyaluronic acid injections give an immediate result and last 18 months.
Laser sessions give a gradual result, as they depend on stimulating collagen synthesis ( neocollagenesis ), which requires 3 months to peak. The result lasts 5 to 10 years.

Aesthetic treatment of under eye bags : before and after photos

photo laser and hyaluronic acid in cosmetic medecine to remove bags under the eyes

For more images go to : www.dr-romano-esthetique.com/en/results-before-after/under-eye-bag/


This page is purely informative, in accordance with the guidelines of the Ordre of Doctors.It is not a publicity for treatments .

The benefits of aesthetic medicine for the eye area


Medical blepharoplasty

regard forme

Eye shape

paupières fripées

Crumpled eyelids


Dark circles

vallée des larmes

Tear trough

lifting sourcil

Eyebrow lift


oeil creux paupière

 Sunken eye sockets, filling the upper eye area

poches malaires regards yeux

 Malar bags 



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