Bags under eyes are usually a cosmetic concern and don't require specific treatment. Home and lifestyle treatments may help reduce or eliminate puffy eyes.
Medical and surgical treatments are available if you're concerned about the appearance of under-eye swelling. Treatment may not be covered by medical insurance if it's done solely to improve your appearance.
If you think the swelling under your eyes is caused by an allergy, ask your doctor about prescription allergy medications.
Various wrinkle treatments are used to improve the appearance of puffiness under the eyes. These include laser resurfacing, chemical peels and fillers, which may improve skin tone, tighten the skin and rejuvenate the look of bags under the eyes.
Eyelid surgery (blepharoplasty) is an option to remove bags under eyes. During blepharoplasty (BLEF-uh-roe-plas-tee), the surgeon cuts just below the lashes in your eye's natural crease or inside the lower lid. The surgeon removes or redistributes excess fat, muscle and sagging skin. He or she then rejoins the skin with tiny dissolving stitches along the lid's natural crease or inside the lower eyelid. The procedure is usually done as an outpatient procedure.
In addition to correcting bags under eyes, blepharoplasty can also repair:
- Baggy or puffy upper eyelids
- Excess skin of the upper eyelid that interferes with your vision
- Droopy lower eyelids, which may cause white to show below the iris — the colored part of the eye
- Excess skin on lower eyelids
Talk with your doctor about the risks of eyelid surgery, which include infection, dry eyes, and problems with vision, tear ducts and eyelid position.
Sept. 26, 2014
- AskMayoExpert. Eyelid surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Eyelid surgery. American Society for Aesthetic Plastic Surgery. http://www.surgery.org/consumers/procedures/head/eyelid-surgery. Accessed Feb. 7, 2014.
- Yanoff M, ed., et al. Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Feb. 7, 2014.
- AskMayoExpert. Eyelid surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2013.
- Neligan PC. Plastic Surgery. 3rd ed. Philadelphia, Pa.: Elsevier; 2013. https://www.clinicalkey.com. Accessed June 4, 2014.
- Goldberg RA, et al. What causes eyelid bags? Analysis of 114 consecutive patients. Plastic and Reconstructive Surgery. 2005;115:1395.
- Brain basics: Understanding sleep. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/brain_basics/understanding_sleep.htm. Accessed June 5, 2014.
- Goldberg DJ. Ablative laser surfacing for skin rejuvenation. http://www.uptodate.com/home. Accessed June 5, 2014.
- Bradley EA (expert opinion). Mayo Clinic, Rochester, Minn., July 22, 2014.