Under Eye Bag Treatment

Under-eye bags, dark circles, and puffiness can result from fluid retention, hyperpigmentation, excess skin, lack of sleep, collagen loss, and even a natural hollow in the undereye area. While these features may have a genetic component, they often worsen with frequent sun exposure or due to the aging process. An eyelid surgery, or blepharoplasty, is one treatment option for improving the appearance of undereye bags. However, there are now many non-surgical options, including hyaluronic acid dermal fillers, chemical peels, laser resurfacing, and microneedling, which offer stunning rejuvenation results for the undereye area without downtime. If you’re interested in a non-surgical treatment option for improving the appearance of under-eye bags, Dr. Green in NYC is here to help.

Dr. Green is an expert in cosmetic dermatology, rejuvenating the under-eye area with hyaluronic acid dermal fillers such as Restylane and Juvederm, minimizing dark circles with Mesopeels, chemical peels, and laser treatments, and reducing periocular fine lines and wrinkles with Botox injections, eMatrix laser, and Thermage skin tightening laser. Dr. Green’s proprietary line of skincare products, MGSKINLABs, Inc., contains some of the best active skincare ingredients to stimulate new collagen production, improve pigmentation, and reduce dark circles. Dr. Green is an expert at eliminating under-eye bags and dark circles without invasive plastic surgery.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding facial rejuvenation, customizing each patient’s plan to incorporate the unique combination of in-office treatment options and specially formulated skincare products that are best suited to their particular concerns and aesthetic goals. She is consistently identified as one of New York City’s best dermatologists by New York Magazine, Castle Connolly, Super Doctors, and the New York Times for her dedication to her patients and expertise. Dr. Green utilizes cutting-edge technologies and innovative treatment techniques to help her patients look and feel their very best. Consulting with Dr. Green is the best first step if you are interested in removing fine lines and wrinkles, erasing unwanted pigmentation and dark circles, and getting rid of undereye bags without the need for invasive plastic surgery or blepharoplasty.

What causes undereye bags, dark circles, and puffiness?

Under-eye bags are the prominent pockets of excess fat under the lower lid that may appear puffy, swollen, or baggy. Under-eye bags form when collagen breaks down in the skin, which leads to the weakening of the tissues and muscles in the undereye area. Collagen is a structural skin protein contributing to a firm foundation and youthful appearance. Collagen depletion is part of the natural aging process and, for many, is related to their genetics. Other factors, such as using tobacco and alcohol or frequent sun exposure, can accelerate collagen breakdown. As collagen breaks down and the tissues in the undereye area weaken, the combination of fat pad herniation and loose, excess skin creates the appearance of undereye bags.

Hollows in the undereye area, or the nasojugal grooves, are often called tear troughs due to their location and depth. Hollows are usually genetic or related to the natural aging process. Tear troughs can cast shadows in the undereye area, giving the illusion of dark circles. These hollows are actually due to a lack of fat in the undereye area and the anatomy of the underlying bony structures. Dark circles are caused by visible blood vessels or excess pigmentation in the undereye area.

Eye puffiness is temporary swelling in the under-eye area, which is different than permanent under-eye bags, although they may look similar. Puffy eyes may be attributed to factors such as lack of sleep, consumption of salty foods, allergies, hormone fluctuations, or fluid retention.

While there is a hereditary component to the appearance of under-eye bags, a wide variety of lifestyle choices can also contribute to their development. If you want to reduce the appearance of under-eye bags, dark circles, puffiness or prevent these features from developing, it’s helpful to think about the following potential risk factors:

Smoking and Drinking

Both smoking tobacco and drinking alcohol can cause issues with the appearance of the skin, accelerating the aging process and contributing to the appearance of undereye bags. Smoking tobacco produces substances that cause premature signs of aging, which can reduce the amount of collagen and elastin in the skin. Collagen and elastin are vital skin proteins that contribute to its structural support, elasticity, and an overall more youthful appearance. These proteins naturally deplete over time due to the aging process, but these substances can significantly expedite it. Additionally, smoking can restrict blood vessels in the skin, leading to less oxygen and vitamins reaching the skin’s surface. In turn, this can lead to the appearance of aging and fine lines and wrinkles in the eye area. Additionally, alcohol consumption can dehydrate the body, leading to dry eyes and weakened elasticity under the eyes.

Sun Exposure

The sun emits UV rays that cause cellular damage to the skin’s structural components; thus, sun exposure is one of the leading causes of aging around the eye area. Frequent sun exposure can lead to damage when it comes to collagen and elastin fibers, which can then lead to sagging or drooping skin, making patients appear to have excess skin under the eyes. Sun exposure can also cause discoloration or other pigment issues, such as brown spots or sun spots, particularly for those with paler skin tones. For this reason, Dr. Green recommends everyone wear a 30 SPF or higher sunscreen daily to protect the skin against sun damage, either incorporated into their moisturizer or as an additional skincare protection.

Genetics

There is a genetic component to the appearance of undereye bags, although no single gene exists for under-eye bag development. Some individuals are more prone to developing undereye bags, and the likelihood increases if other family members, such as parents or siblings, have under-eye bags. Under-eye bags are caused by fat herniation and loose, excess skin, which the natural aging process can exacerbate. Genetics have an impact on the aging process. This can also manifest as genetic thyroid problems contributing to puffiness and circles under the eyes. While it is possible to control many other lifestyle behaviors that contribute to the appearance of under-eye bags, such as limiting the intake of salty foods and getting enough sleep, it is not possible to influence the hereditary component of under-eye bags. However, it is possible to treat the appearance of genetic under-eye bags with various non-invasive cosmetic treatment options and cosmetic surgery like blepharoplasty.

Sleep Deprivation

Lack of sleep can contribute to the development of dark under-eye circles and under-eye bags. Sleep deprivation can cause blood vessel dilation and fluid retention in the undereye area. Ensuring that you get adequate, restful sleep can be an excellent home remedy for minimizing dark circles, puffiness, and under-eye bags. Additionally, applying a cold compress to the undereye area in the morning can help soothe inflammation, reduce swelling, and limit blood flow to reduce puffiness.

Diet

Simple changes in diet can help to reduce the appearance of under-eye bags. Consuming a diet with a high salt content can increase the body’s sodium levels, which leads to excess fluid retention. Reduced salt intake can prevent fluid retention in the body, which is often the cause of puffiness under the eyes. Additionally, increasing the amount of Vitamin C you incorporate into your diet can help produce new collagen. Foods rich in Vitamin C include Brussels sprouts, kale, oranges, and strawberries. By merely adjusting your daily meals and increasing the amount of water you drink daily, you can help improve the health and appearance of your skin.

How to get rid of bags under the eyes

A variety of issues can cause the appearance of under-eye bags. Some specific lifestyle changes can help minimize or prevent the formation of under-eye bags. A change in diet (limiting one’s intake of salty foods and alcohol), getting enough sleep, and adequate hydration can all help to reduce the appearance of under-eye bags. While these lifestyle choices can reduce eye puffiness, patients with genetic under-eye bags or dark circles require cosmetic treatment with a board-certified dermatologist, such as Dr. Michele Green in New York City, to reduce their appearance. Dr. Green offers a variety of non-surgical treatment options designed to effectively reduce the appearance of under-eye bags, puffiness, and dark circles, with long-lasting, natural-looking results and minimal downtime.

How to get rid of eye circles

A combination of several contributing factors, including the aging process, lack of sleep, allergic reactions, dehydration, sun exposure, hyperpigmentation, lifestyle habits, or genetics, may cause the appearance of dark under-eye circles. Many patients with dark circles in the under-eye area have genetic or age-related hollows. The tear trough hollows can cast shadows in the under-eye area, causing the appearance of dark circles. Dark under-eye circles related to hollows in the tear troughs are often treated with dermal filler injections. Dermal fillers, injected into the tear through under-eye hollows, will instantly restore lost volume and rejuvenate the delicate under-eye area. Dr. Green commonly treats tear trough hollows in the undereye area with hyaluronic acid dermal fillers such as Restylane and Belotero, which provide long-lasting rejuvenation. These hyaluronic acid dermal fillers produce cosmetic results that typically last six months to a year, with most patients engaging in regular follow-up treatment sessions to keep up the best results.

While some patients experience dark under-eye circles due to hollows in the tear troughs, others struggle with hyperpigmentation in the under-eye area. If the undereye area is affected by hyperpigmentation, using dermal fillers will only make their appearance more prominent, worsening the dark circles. One of the best new ways to treat hyperpigmentation around the eyes is with Mesopeel Periocular peels. This specialized chemical peel is designed to remove the dead, discolored skin cells from the under-eye area in a gentle yet effective manner. The chemical peels stimulate new collagen production and generate new, healthy skin cells that are more even in tone. To achieve desired results, most patients require a short series of chemical peels, each spaced approximately four weeks apart.

How do you get rid of eye puffiness?

Eye puffiness, particularly in the morning, is different than genetic or age-related under-eye bags and may be influenced by factors such as diet (such as consuming salty foods), lack of sleep, chronic stress, hormone fluctuations, allergies, dehydration, and fluid retention. Puffy eyes are characterized by temporary swelling, though they may look similar to under-eye bags. Eye puffiness due to these causes may resolve independently or require treatment by a medical professional, depending on the severity. Various home remedies and over-the-counter treatments may improve eye puffiness, including taking an oral antihistamine, using a cold compress, sleeping with the head slightly elevated (to prevent fluid retention), and limiting the intake of salty foods, alcohol, and tobacco. A board-certified dermatologist, such as Dr. Michele Green in New York City, can work with you to determine whether you are affected by under-eye bags or puffy eyes and develop a personalized treatment protocol for rejuvenating the undereye area. For some patients, an allergen or irritant can cause under-eye bags, leading to swelling and puffiness. In this case, Dr. Green can prescribe allergy medication and antihistamines or recommend a sinus-clearing regimen, such as using a neti-pot, to reduce swelling under the eyes.

How to eliminate bags under the eyes with the right skincare products: eye creams, retinol, and vitamin C

Finding the right skincare products for under-eye rejuvenation among countless over-the-counter options can be daunting, so consulting with an experienced board-certified dermatologist, such as Dr. Michele Green in New York, is always recommended. When treating signs of the natural aging process around the eyes, it is important to determine what is causing the appearance of dark circles, fine lines, or puffiness. For some patients, dark circles appear due to volume loss under the eyes, which creates a hollow appearance. For others, dark circles may be excess pigment on the skin that needs lightening. Dr. Green has treatment options for both scenarios in her proprietary line of specially developed skin care products, MGSKINLABs, Inc. Dr. Green’s MGSKINLAB’s Intensive Eye Repair is a cooling eye gel that can reduce the appearance of fine lines, puffiness, and dark circles while providing a soothing effect. The Line Repair Eye cream is replete with retinol to remove fine lines and discoloration, providing smoother, firmer skin in the undereye area. Many patients benefit by using the Intensive Eye Repair gel in their morning skincare routine and the Line Repair Eye cream in their evening routine.

The natural aging process also involves decreasing the production of the structural protein collagen, which helps keep skin firm and smooth. For patients who want to reduce the appearance of loose or sagging skin, a Retinol-based cream may be the best solution. Retinol creams are derived from Vitamin A and can help with various skin issues, from acne to aging to psoriasis. Many retinol creams are designed to improve collagen production within the skin and vary in concentration to provide the best results. Learn more about the positive effects of retinol creams in Dr. Green’s article with Forbes.

A helpful daily skincare routine with an SPF of 30 or higher is a simple, vital way to protect the skin in the eye area from harmful sun exposure. Skincare products like MGSKINLAB’s Antioxidant Facial Sunscreen SPF 30 can help protect the skin against the sun’s rays and revitalize it with nutrients like Vitamin C, A, and E, as well as Green Tea extract.

Vitamin C is an antioxidant ingredient that stimulates new collagen production and accelerates the rate of skin cell turnover. Collagen is an abundant skin protein that contributes to its structural support and an overall youthful appearance. Part of the natural aging process entails collagen depletion over time, which can cause thinner skin and a loss of elasticity. In the undereye area, this can make blood vessels more prominent. Using a vitamin C eye cream can help thicken the skin in the undereye area and make blood vessels less noticeable. By increasing the rate of skin cell turnover, vitamin C can also help with hyperpigmentation. With consistent use, the skin cells with discoloration are sloughed away from the skin’s surface layers while new, healthy skin cells are generated. This gradually creates a more even skin tone and a brighter, more youthful undereye area.

Retinol is an active ingredient in many topical anti-aging skin care products, available over-the-counter and in prescription strength. Retinol is a derivative of vitamin A that accelerates the rate of skin cell turnover and induces new collagen production. Increasing collagen production can improve the appearance of dark circles by thickening the skin and reducing the visibility of blood vessels. Retinol can also create a firmer, smoother skin texture and reduce the appearance of fine lines around the eyes. Dr. Green’s line of specialty skincare products, MGSKINLABs, Inc., offers the Line Repair Eye Cream containing retinol. The Line Repair Eye cream is an excellent addition to one’s nighttime skincare routine and can help create a more youthful appearance in the undereye area.

Botox for fine lines

Botox is an injectable neuromodulator that inhibits targeted nerve signals, preventing certain muscles from fully contracting. Botox is commonly used on the forehead, glabella, and the corners of the eyes (crow’s feet) to reduce the appearance of dynamic fine lines, which are caused by repetitive facial expressions, such as smiling and squinting. When injected around the eyes, Botox creates a more ‘open’ look and reduces the appearance of fine lines. Dr. Green is an expert in cosmetic Botox injections with over two and a half decades of experience providing what is often referred to as the ‘best Botox in NYC’ and utilizes Botox®, Dysport®, and Xeomin® to treat fine lines around the eyes. The effects of Botox can take up to two weeks to kick in, after which they tend to last up to four months. Most patients opt to have regular maintenance Botox treatments every 3.5-4 months to keep up the best rejuvenation results. While Botox is an excellent treatment option for reducing fine lines at the corners of the eyes, Dr. Green does not advise Botox to treat the under-eye area as this often accentuates the cosmetic appearance of under-eye bags.

Fillers for undereye hollows

Dermal fillers are a type of cosmetic injectable that can treat and minimize the appearance of undereye bags and hollows that are caused by a tear trough or volume loss under the eyes. There is a variety of dermal filler products, each with its specific formulation and consistency, which makes them well-suited to different areas of the face. When you have your initial consultation with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she can assess the undereye area to determine which type of dermal filler suits your facial anatomy and cosmetic concerns. Within each family of dermal fillers, the thinnest gel injectable is generally used for the delicate area under the eyes. Dermal fillers, such as Restylane, Juvederm, and Belotero, comprise a smooth gel made of hyaluronic acid. Hyaluronic acid naturally occurs in the body. Still, it decreases in prevalence as we age, contributing to volume loss in various areas of the face, including under the eye. The hyaluronic gel is injected using a thin needle into the mid-dermal layer of the skin. The gel immediately adds volume to the skin and provides more moisture, restoring a youthful appearance in the treatment area. Each different family of dermal filler has slightly different properties. No family of fillers is inherently better than the other. Instead, when you have your initial consultation with Dr. Green, she will determine the best filler or combination for your specific needs.

You will begin your treatment process by consulting with Dr. Green so she can assess the treatment area and customize the under-eye treatment plan that is right for you. If Dr. Green determines that dermal fillers will be a part of your treatment plan, you may have injections on the same day as your consultation or schedule for a later date, depending on time allowance and personal preference. On the day of your injections, apply the topical numbing cream prescribed by Dr. Green to the entire undereye area one hour before your appointment. Once you arrive at Dr. Green’s office in the Upper East Side neighborhood of Manhattan in New York City, the treatment area will be cleaned and sterilized, and Dr. Green will expertly perform your filler injections. Following the treatment, Dr. Green will immediately apply ice to the treatment site to prevent swelling. Dr. Green advises discontinuing blood thinners for two weeks before your injections to minimize the risk of bruising following the treatment. Patients who are susceptible to bruising may wish to take Arnika, an oral herbal supplement that prevents and treats bruising, for several days before and after their injections. The initial effects of the therapy should appear immediately, and any swelling in the treatment area should resolve within two weeks.

Belotero filler

Belotero® is an FDA-approved hyaluronic acid filler made by the company Merz. Belotero differs from Juvederm and Restylane in its proprietary Cohesive Polydensified Matrix creation process. The result is a thinner, more flexible filler, ideal for delicate areas such as the under-eye. Belotero works to smooth out fine lines and wrinkles while adding subtle volume by integrating seamlessly with the skin. Belotero is also commonly used to fill fine lines around the mouth, often called “smoker lines.” One of the advantages of Belotero is that its formula prevents what is called the Tyndall effect. The Tyndall effect is a blue tint in the undereye area that can occur when the filler injected into the undereye area is too thick, placed too superficially, or too much is used. The benefit of having undereye fillers with an expert injector like Dr. Green is that they have the expertise and experience required to select the appropriate dermal filler type for your cosmetic concerns and anatomy and perform the injections in an expert fashion that produces natural-looking, long-lasting, stunning rejuvenation results.

Juvederm dermal fillers

Juvederm is an extremely popular family of dermal fillers created by Allergan, the company responsible for creating Botox. Juvederm has many different varieties of fillers ranging in density, with the denser fillers used to address fine lines and deep wrinkles and the thinner fillers for fine lines and more delicate areas of the face. One of the thinner varieties of Juvederm filler is the Juvederm Volbella®, which is best for subtle enhancements. Juvederm Volbella can restore lost volume and is the ideal filler for addressing under-eye hollows and bags. Juvederm treatment results can be visible for approximately one year following treatment. If a malar groove contributes to a sunken appearance below the undereye area, a cheek filler may help replenish volume loss and create a more youthful appearance. Depending on your age, skin type, and cosmetic concerns, Dr. Green may recommend a filler called Juvederm Voluma for the midface, in the area just below the tear trough, for correction. The rejuvenation results of Juvederm dermal fillers are immediate, and depending on the type of Juvederm filler selected, the results can last six months to a year. Most patients have regular dermal filler injections to maintain the best cosmetic results. When you have dermal fillers with Dr. Green for facial rejuvenation, she will work with you to create a customized timeline for your treatments that best suits your cosmetic concerns and aesthetic goals.

Restylane injections

Restylane is a family of filler products created by Galderma. Restylane was initially approved as a cosmetic filler by the FDA in 2003. Galderma has a variety of Restylane fillers that vary in thickness to address different cosmetic concerns on the face. Thicker fillers are used to fill in deeper wrinkles, while thinner gel fillers are employed on more delicate areas of the face, including the under-eye area. For that reason, Restylane L® is the Restylane filler typically used to address under-eye bags and hollows, as it is one of the thinner fillers in the Restylane family. The results of the Restylane treatment are visible immediately and, depending on the metabolism of the patient and how much filler was used, can last for approximately six to nine months.

What does under-eye filler do?

Under-eye filler is a safe and effective treatment option to address various cosmetic concerns. Under-eye filler is injected into the tear trough, which is the crease that goes from the tear duct to the upper cheek. While the tear trough is present even in youth, it can deepen over time due to collagen loss and the natural aging process, creating the appearance of shadows in the undereye area. When the dermal filler is injected into the tear trough, it helps boost collagen production, restore lost volume, and reduce the appearance of fine lines, wrinkles, and dark circles. With Dr. Green’s “less-is-more” approach to dermal fillers, injections in the under-eye can help restore a naturally youthful, bright, and vibrant appearance.

Does under-eye filler help dark circles?

As a part of the natural aging process, volume loss can occur under the eyes, resulting in deep hollows. These hollows under the eyes can create shadows that give the illusion of dark circles. Dermal filler is ideal if the dark circles are caused by volume loss, which causes cavities under the eyes. Under-eye filler helps restore lost volume to the treatment area, decrease the appearance of creases, and promote collagen production, which helps to eliminate shadows under the eyes. Dermal fillers should not, however, be used to treat dark circles that are caused by excess pigment in the undereye area. Suppose dark circles appear under the eyes as a result of pigmentation. In that case, dermal filler injections may worsen the appearance of dark circles. Instead, patients opt for chemical peels, such as the Mesopeel Pericular peels, or brightening skincare products like topical retinol serums and eye creams.

How long do under-eye fillers last?

When treating under-eye bags, use hyaluronic acid fillers, such as the Restylane or Juvederm family of fillers. Hyaluronic acid fillers work well for the delicate under-eye area and produce a natural, revitalized look. At the same time, different types of dermal fillers last for various lengths of time; hyaluronic acid fillers typically last for nine months to a year. Though the filler treatment results are temporary, the procedure can be repeated annually to maintain the treatment results. When you consult with Dr. Green, she will help create the best treatment schedule for you.

How much does under-eye filler cost?

When patients ask how much is under eye filler, the answer is that it depends. Several factors contribute to the total cost of dermal filler treatment, including your geographic location, the type of institution at which you receive treatment (in a medical spa versus the private office of a healthcare professional, such as board-certified dermatologist Dr. Green), the dermal filler product selected, and the amount of filler needed to address the cosmetic concern being targeted. Dr. Green is committed to providing effective, individualized treatment plans to all her patients – taking the time to determine the treatment options that best address each patient’s unique needs and achieve their ideal cosmetic results. Since the amount of filler and cosmetic goals can vary from patient to patient, Dr. Green’s office will provide you with a better idea of the overall cost of the treatment after your initial consultation.

How to remove dark rings under the eyes with Microneedling

Microneedling, or collagen induction therapy, is an excellent non-invasive treatment option for revitalization. Microneedling involves the application of a handheld device containing tiny, sterile needles to the skin’s surface. This stimulates new collagen production and creates microscopic channels in the skin. These channels increase the absorbency of specialized topical skincare serums, enhancing their effects. When microneedling is performed in the area below the lower eyelid, the increase in collagen production results in firmer, healthier skin under the eyes, which decreases the appearance of dark circles and hollows. Microneedling is a fast and easy way to reduce the appearance of undereye bags without invasive surgery or downtime.

Mesopeels: chemical peels for hyperpigmentation in the undereye area

A chemical peel accelerates the skin cell turnover rate, encouraging dead, discolored skin cells to slough away more quickly and reveal new, healthy skin cells that are more even in tone and texture. Chemical peels also stimulate collagen production in the treatment area. By inducing collagen production in the undereye area, chemical peels can help thicken the skin to reduce the visibility of blood vessels, which reduces the appearance of dark circles. A short series of targeted chemical peels will result in firmer, smoother skin and a visible reduction in fine lines and pigment discoloration. Dr. Green often recommends a specially developed chemical peel called a Mesopeel for the delicate undereye area. The Mesopeels were designed to improve the appearance of the sensitive, delicate undereye area without causing skin irritation.

A chemical peel treatment, especially with the Mesopeel, is quick, painless, requires zero downtime, and provides optimal cosmetic results in just a few sessions. The chemical peel solution is applied to the skin in Dr. Green’s private dermatology office in New York City. When the chemical solution is applied, you may feel a mild tingling sensation or heat on the skin’s surface. The peel is then cleaned off the skin after a set duration. Following the chemical peel, protecting the treatment area from sun exposure is crucial, as the skin will be particularly sensitive to sunlight.

How to remove baggy eyes with Thermage

Thermage is the gold standard for non-invasive skin tightening, including the delicate under-eye area. Thermage uses radiofrequency energy to stimulate collagen production in the skin. Collagen is the most abundant skin protein, contributing to a firm foundation and youthful appearance. After age 20, collagen production decreases by about 1% annually. Replenishing collagen levels in the skin makes producing firmer, smoother, younger-looking skin possible. In addition to improving the appearance of loose, excess skin around the eyes, Thermage can be used for skin tightening on the rest of the face, neck, chest, decolletage, upper arms, abdomen, buttocks, and thighs. Zero downtime is involved, meaning patients can resume their normal daily activities immediately after the procedure. Thermage FLX, the newest generation of this innovative laser treatment, is equipped with AccuRep technology, allowing for incredibly precise delivery of radiofrequency energy, a faster treatment session, and consistently phenomenal cosmetic results.

Other Laser Resurfacing Treatment Options for improving the appearance of undereye bags

Non-ablative laser treatments, such as the Fraxel and eMatrix, are excellent non-surgical treatment options for rejuvenation of the undereye area. In addition to reducing the appearance of fine lines and baggy, excess skin, these lasers can also improve the appearance of hyperpigmentation and other evidence of sun exposure in the undereye area. Laser resurfacing treatments work by stimulating new collagen production in the treatment area. Collagen is the most abundant skin protein. It provides structural support and contributes to a youthful appearance. After age 20, collagen production decreases at a steady rate of approximately 1% annually, leading to various signs of aging. By stimulating new collagen production, the Fraxel and eMatrix lasers can help reduce signs of aging in the undereye area with minimal downtime.

Fraxel is often referred to as the ‘magic eraser’ by Dr. Green for its unique ability to target a wide range of cosmetic concerns, including sun damage, fine lines, enlarged pores, hyperpigmentation, and acne scars, among others. The Fraxel Dual Laser relies on fractional laser energy to create microscopic wounds in the treatment area, triggering the natural collagen production process. There is minimal downtime, and common side effects include mild redness, swelling, and tenderness in the treatment area, which tend to resolve within several days of the procedure. The initial results are typically visible approximately four weeks after a treatment session, and most patients require 3-6 treatment sessions, each spaced one month apart, to achieve ideal rejuvenation results.

The eMatrix laser relies on radiofrequency technology to deliver heat to the dermis, where collagen production is stimulated. The eMatrix can tighten the skin around the delicate under-eye, remove fine lines, decrease pigmentation, and increase collagen production. The eMatrix is a ‘color blind’ laser, which makes it safe for treating all skin types and tones. There are approximately two days of downtime with the eMatrix laser, during which patients may experience mild side effects such as redness, swelling, and tenderness in the treatment area. Similarly to the Fraxel, most patients require 3-6 treatment sessions for optimal rejuvenation results.

When you have laser resurfacing treatment with Dr. Michele Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will physically assess your skin condition and, depending on your cosmetic concerns and skin type, recommend the appropriate treatment options so that you look and feel like the best version of yourself.

How to get rid of bags around the eyes with home remedies

Many patients wonder about naturally reducing the appearance of under-eye bags and dark circles; luckily, under-eye bags are frequently treated with home remedies. However, the effectiveness of some of these treatment options has yet to be widely studied. If you suffer from under-eye bags, puffiness, dark circles, or hollows, you should talk with an experienced board-certified dermatologist like Dr. Green before choosing any treatment option. Nevertheless, a doctor-recommended at-home skincare routine can do wonders for dark circles or bags under the eyes. The sections below describe some of the most popular over-the-counter and home remedies for improving the appearance of the undereye area.

Tea Bags

Applying tea bags to the undereye area is one of the more common home remedies for dark circles. Tea contains various antioxidants, and the caffeine in black and green tea may help increase blood flow to the area. Tea also has anti-inflammatory properties that can reduce the puffiness of under-eye bags. Green tea (as well as green tea-based face masks and moisturizers) has been recommended for reducing dark circles after several studies.

Cold Compress

A simple cold compress can help mitigate the appearance of under-eye bags caused by swelling and eye puffiness. The cold compress can help to constrict blood vessels, which in turn can temporarily relieve the appearance of dark circles or puffiness. When applying a cold compress, submerge a soft washcloth in cold water, then place it on the undereye area for approximately ten minutes.

How to remove dark circles under the eyes permanently

Dark under-eye circles can appear under the eyes for a variety of reasons. Some dark circles are caused by volume loss under the eyes, which results in hollows and shadows under the eyes. The best treatment option for patients experiencing shadows under their eyes due to holes is likely dermal fillers to restore lost volume in the treatment area and boost collagen production. Some dark circles are caused by pigmentation on the skin. For patients with discoloration under the eyes, the Mesopeel Periocular series of chemical peels is a great option to lighten dark circles, exfoliate the skin, and generate new skin cells. Chemical peels can also be paired with a skin-brightening cream applied at home. Pigmentation can also be addressed with laser treatment. Laser resurfacing treatments, such as the Fraxel and eMatrix laser, work in the delicate eye area to tighten the skin and reduce discoloration under the eye. When you have your initial consultation with Dr. Green, she will examine the treatment area and decide about the treatment or series of treatments that best address your needs.

Blepharoplasty: a surgical treatment for undereye bags

It is possible to reduce or eliminate the appearance of unsightly undereye bags permanently. Under-eye bags are commonly removed with an eyelid surgery called blepharoplasty. A blepharoplasty is performed in a medical setting by a board-certified plastic surgeon. During this surgical procedure, an incision is made near the lower lid, and the excess fat is removed. The surgeon will remove excess skin and muscle, then close the incision with tiny, dissolving stitches. Common side effects associated with blepharoplasty include swelling and bruising around the eyes, which typically resolve within one to three weeks from the procedure. Most patients require approximately two weeks of downtime before returning to their usual activities. While blepharoplasty can not prevent the natural aging process, the cosmetic results can be incredibly long-lasting. The lower lid rarely requires repeat treatment, and the upper eyelid can last anywhere from seven years to a lifetime. Blepharoplasty is commonly performed simultaneously with other cosmetic surgeries, such as a facelift or brow lift. In addition to the cosmetic benefits of blepharoplasty, the surgical procedure can help with vision problems caused by sagging, excess skin. The best way to determine whether you are a good candidate for blepharoplasty is to consult a board-certified plastic surgeon or dermatologist.

Patients not yet ready for invasive plastic surgery may use non-invasive treatment options. At Dr. Michele Green’s private dermatology office, many non-invasive treatment options, including Microneedling, chemical peels, dermal fillers, and laser treatments, can help temporarily improve the appearance of undereye bags. When you consult with Dr. Green, she will evaluate your undereye area and work with you to create a customized treatment plan that best suits your needs and aesthetic goals.

How much is a blepharoplasty?

The total cost of blepharoplasty, or undereye bag surgery, varies greatly depending on the experience level of your plastic surgeon and the geographic location of the medical office in which you are treated. Blepharoplasty is, however, consistently more expensive than non-invasive cosmetic treatment options available in a board-certified dermatologist’s office, such as dermal filler injections or chemical peels. Dermal filler injections and chemical peels are cosmetic treatment options for targeting dark circles or hollows in the under-eye area. Both non-invasive treatment options provide long-lasting rejuvenation results that are natural-looking, which many patients prefer. The best way to determine whether you are a better candidate for non-invasive treatment options or a blepharoplasty and the cost of treatment is by consulting an experienced board-certified dermatologist or plastic surgeon.

How to remove pouches under the eyes without plastic surgery

Blepharoplasty is one of the most commonly performed surgical cosmetic procedures. However, many patients are interested in exploring non-surgical treatment options for permanently reducing the appearance of under-eye bags. At Dr. Green’s private dermatology office in New York City, she offers a host of non-invasive treatment options for improving the appearance of the undereye area, including dermal fillers, Botox injections, Microneedling, chemical peels, laser treatments, and a variety of specially formulated topical skincare products. These treatment options provide patients with long-lasting rejuvenation results, with many individuals engaging in regular follow-up treatment sessions to maintain the best cosmetic effects. While non-invasive treatments provide many patients with long-lasting and satisfactory cosmetic results, they can not produce permanent effects. Your skin condition, particular concerns, and aesthetic goals will influence the best treatment options. If you are interested in non-surgical solutions to under-eye bags, discuss treatment options with your healthcare professional, Dr. Green.

What is the best treatment option for improving the appearance of undereye bags?

The best treatment for reducing or eliminating the appearance of under-eye bags is customized to suit your specific concerns and personal aesthetic goals. The under-eye area may appear aged due to dark circles, hollows in the tear trough, puffiness, or under-eye bags. Each of these concerns requires a unique treatment approach, and an individual can simultaneously be affected by more than one of these concerns. It is critical to consult with an experienced board-certified dermatologist for undereye rejuvenation to guarantee optimal results and prevent unwanted potential side effects. For example, suppose a patient with dark circles has pigmentation in the undereye area and is inappropriately recommended for treatment options such as dermal filler injections (rather than chemical peels or specially formulated lightening skincare products). In that case, the appearance of their dark circles will worsen. An experienced board-certified dermatologist, such as Dr. Michele Green in New York City, will physically assess the undereye area to determine the cause of the appearance of under-eye bags. Based upon her expert evaluation, Dr. Green will recommend a unique combination of the skincare products and non-invasive treatment options best suited to your particular needs, guaranteeing ideal results.

How to prevent under-eye bags

There are several risk factors for developing under-eye bags that have to do with lifestyle choices, and, as such, the best way to prevent under-eye bags is to avoid smoking, excessive drinking, and too much sun exposure. Eating a well-balanced diet is also important in preventing under-eye bags and ensuring you get enough sleep every night. Maintaining your overall health and wellness is important to prevent under-eye bags. In some cases, under-eye bags cannot be prevented, as dark circles and puffiness under the eye can occur due to genetics or the natural aging process. If that is the case, patients can turn to cosmetic treatments to reduce the appearance of the bags under the eyes.

How to cover under-eye bags

It can be a challenge to cover the appearance of under-eye bags and dark circles. Some home remedies can help reduce eye puffiness, including using a cold compress. To correctly use a cold compress for puffy eyes, submerge a washcloth in cold water, then ring out the excess. Place the washcloth on the undereye area for ten to fifteen minutes. The cold compress will help reduce eye puffiness and provide a refreshed appearance. To reduce the appearance of dark circles, using a color-correcting concealer can reduce the visibility of blood vessels in the undereye area. These home remedies can temporarily improve the appearance of the undereye area or cover imperfections. However, there are non-invasive treatment options that can provide long-lasting rejuvenation results. When you consult with board-certified dermatologist Dr. Michele Green at her private office in New York City, she will recommend treatment options that will help you revitalize the undereye area to achieve and maintain a youthful appearance rather than having to cover your under-eye bags each day.

Getting started with undereye bag treatment options

Undereye bags, puffiness, dark circles, fine lines, and hollows can cause a prematurely aged appearance and, for many, induce feelings of self-consciousness. While these features may have a genetic component, they often worsen with frequent sun exposure or due to the aging process. An eyelid surgery, or blepharoplasty, is one treatment option for improving the appearance of undereye bags. Surgical treatment isn’t always a viable option, as it can be costly, invasive, and require significantly more downtime than non-surgical treatment options. Luckily, there are now many non-surgical options, including hyaluronic acid dermal fillers, chemical peels, laser resurfacing, Thermage, and microneedling, which offer stunning rejuvenation results for the undereye area without downtime. If you’re interested in a non-surgical treatment option for improving the appearance of under-eye bags, dark circles, and puffiness, Dr. Green in NYC is here to help.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive treatment options, including for improving the appearance of undereye bags. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding facial rejuvenation, customizing each patient’s plan to include the combination of in-office treatment options and specially formulated skincare products that are best suited to their specific cosmetic concerns. She is consistently identified as one of New York City’s best dermatologists by New York Magazine, Super Doctors, Castle Connolly, and the New York Times for her dedication to her patients and expertise. To get started with your personalized treatment plan for improving the appearance of undereye bags, dark circles, and puffiness, schedule a consultation with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood by contacting us online or calling the NYC office at 212-535-3088 today.