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Depending on what's causing bags under the eyes, eyelid surgery (blepharoplasty) may be a treatment option. Your surgeon will tailor your blepharoplasty (BLEF-uh-roe-plas-tee) to your unique anatomy and needs, but in general the procedure involves removing excess fat through an incision in the natural crease of the upper eyelid or inside the lower lid. The procedure is usually done in an outpatient setting with local anesthesia. A: Foods that are high in sodium, such as canned meats and vegetables, cheese and processed foods, can cause puffiness under the eyes. Drinking caffeine and alcohol can also cause dehydration, which may lead to under-eye bags. However, that doesn't mean I didn't test out a ton of eye products—from creams and balms to ice rollers to laser treatments— designed to combat under eye bags. I even reached out to some of the most trusted dermatologist for their suggestions for temporarily depuffing and brightening under eye bags, too. A: “Bags under eyes” are sometimes caused by acute inflammation — such as an insect bite or infection of the soft tissue — though these tend to happen on just one side. These cases usually resolve on their own, but more severe cases may require a doctor to prescribe medication. The more common under-eye bags result from a loss of firmness of the skin, a natural part of the aging process. Bags under the eyes. American Academy of Ophthalmology. https://www.aao.org/eye-health/tips-prevention/bags-under-eyes. Accessed Dec. 10, 2021.

Lee KE, et al. (2019). Evaluation of caffeine as inhibitor against collagenase, elastase and tyrosinase using in silico and in vitro approach. Use a cool compress. Wet a clean washcloth with cool water. While sitting up, apply the damp washcloth to the skin under and around your eyes for a few minutes using light pressure. Hemorrhoid creams contain phenylephrine, which constricts blood vessels and can temporarily tighten the skin under the eyes. This can temporarily reduce some of the swelling, according to Johns Hopkins Medicine. But be very careful not to get the cream in your eyes. If you have stubborn eye bags, the next-level approach includes therapies like laser resurfacing and chemical peels and fillers. They’re non-invasive and can tone and tighten your skin. Laser treatments (can help tighten, smooth, and brighten skin, depending on the type of laser used)

Causes

If you think the swelling under your eyes is caused by an allergy, ask your health care provider about prescription allergy medication. Therapies Vrcek I, et al. Infraorbital dark circles: A review of the pathogenesis, evaluation and treatment. Journal of Cutaneous and Aesthetic Surgery. 2016; doi:10.4103/0974-2077.184046. But, says Desai, home remedies and over-the-counter products can only do so much, “To effectively get rid of under-eye bags that are prominent and permanent, medical treatment is oftentimes necessary.” At-home treatments for puffy eyes It could also be that your folks passed on the gift of deep-set eyes (cheers, guys), something even an industrial-strength concealer won’t disguise. “Pigmentation problems can also run in families of colour due to extra melanin in the skin,” adds Ezra.

Lower collagen levels cause the skin and underlying muscles all over the body to lose elasticity and tone. This sagging is especially noticeable around the eyes because the skin there is very thin.Skincare routine (see: always, always removing makeup and washing your face to prevent skin irritation and eye puffiness) You may not like the way they look, but bags under eyes are usually harmless and don't require medical care. See your health care provider if the condition causes vision problems, irritation or headaches or is accompanied by skin rash.

Filler: This treatment places a filler material (usually hyaluronic acid, which is a jelly-like substance) where the under-eye area and cheek meet to create a smooth transition. The injection is performed in a doctor’s office under local anesthetic. Results last six to 12 months.Microneedling (promotes collagen production to help firm skin and fade hyperpigmentation, which can offset the look of bags and dark circles) One popular home remedy for reducing bags under the eyes is the use of hemorrhoid cream. (Yes, really.)

Under-eye bags are mostly a cosmetic issue. They’re usually harmless, but can sometimes be a sign of an underlying medical condition. A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it’s rare for people to need future touch-ups.Lower-eyelid blepharoplasty is usually done as an outpatient procedure under local anesthesia with sedation. In some cases, the surgeon will choose general anesthesia instead. Sleep with your head slightly raised. It may help to add an extra pillow or prop up the head of your mattress. Or elevate the entire head of the bed a few inches. This helps prevent fluid from accumulating around your eyes as you sleep. Stop smoking. Everyone loses collagen as they age. That’s a protein that helps keep skin tight. But smoking makes you lose it faster, which can contribute to eye bags. Listen up: if you’re not already using a retinol cream, your time has officially come. “While retinol may not get rid of under-eye bags themselves, it can help improve skin elasticity over time,” says Dr. Fahs. Retinol, reminder, speeds up your cellular turnover while stimulating collagen production. More collagen = more elasticity in the skin, which can mean firmer, smoother under-eyes over time.

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