Under-Eye Bags: Causes, Treatments, and Prevention Tips
Why Under-Eye Bags Form
Under-eye bags can come from several internal and structural causes, each requiring a different treatment. Puffiness may be fluid-related, while true “bags” often come from fat pad prolapse. In some patients, volume loss exaggerates the appearance of bags by creating shadows beneath the puffiness. Skin laxity also contributes, causing creasing and drooping over the lower lid.
At Core Aesthetic, we begin with a medical evaluation to determine whether your concern is fluid retention, fat pad prominence, hollowness, or thinning skin. Choosing the correct cause is essential to avoid overtreating or worsening the area.
Treatments That Actually Help
EZ Gel for Hydration and Smoothing
EZ Gel provides plasma-derived hydration and subtle lift, improving crepiness and helping smooth transitions around mild puffiness. It is ideal for patients who need brightness and skin quality improvement without added weight.
Filler for Volume Loss
If hollowing exaggerates under-eye bags, conservative hyaluronic acid filler can soften the lid–cheek junction and mask shadows. At Core, we use micro-dosing and cannula-based techniques to minimize swelling and maintain a natural contour.
Laser Therapy for Tightening and Refinement
Laser resurfacing tightens loose skin, improves texture, and reduces the fold that forms above prominent fat pads. Controlled energy stimulates collagen without adding bulk, making the area appear smoother and more lifted.
When Puffiness Is the True Cause
For fluid retention or fat pad prominence, we avoid filler entirely. Excess volume can worsen swelling. Instead, we use tightening lasers, lymphatic-supportive skincare, and lifestyle guidance to reduce fluid accumulation.
Contraindications
Not recommended for patients with active dermatitis, uncontrolled autoimmune disease, chronic under-eye edema, bleeding disorders, pregnancy, or breastfeeding. Laser therapy is avoided in patients using photosensitizing medications.
Laser settings must be adapted carefully to avoid post-inflammatory pigmentation. Core Aesthetic uses MD-approved parameters tailored to melanin activity and skin sensitivity.
Risks and Mitigation
Mild swelling or pinpoint bruising may occur. We minimize this with cannulas, conservative filler dosing, precise laser calibration, and strict sterile protocols. For patients prone to edema, we avoid filler and focus on skin-tightening and fluid-control strategies.
Prevention Tips
Daily SPF, hydration, reduced sodium, proper sleep, and medical-grade eye creams with peptides or caffeine help maintain results.
Bye-bye bags, hello brightness. Book your under-eye consultation at Core Aesthetic for a personalized, medically guided plan.
