Puffiness, dark circles, or bags under the eyes are among the most common signs of aging. That’s because the tissues around your eyes weaken as you get older resulting in the protrusion of fat from behind your eye. The undereye bags are magnified by the dropping of the cheek fat pads which creates more of the undereye shadowing Water and other fluids can add to this swelling by accumulating in the space below your eyelids.

All in all, undereye bags can make you look older and fatigued, no matter how well-rested you are. People may even assume you are ill because of the way your eyes have aged. If this is the case for you, you may be wondering about your options for improving the delicate skin in this area. Here’s an overview of the top three cosmetic treatments available for the undereye area.

Facial Fillers

Hyaluronic acid-based fillers such as Restylane® are an excellent option for patients who do not want to explore a surgical option or whose undereye bags are less pronounced.

For many patients, a combination of age and genetics results in thinner fat pads underneath the eyes, making the area appear dark and sunken. In the medical profession, this indentation is called a tear trough hollow. Injecting the right amount of fillers around the orbital bone can create a natural-looking and long-lasting – though not permanent – effect, banishing dark circles for up to a year for some patients with no need for recovery time.

Fat Grafting

A fat transfer works similarly to facial fillers but provides longer lasting results. This procedure involves removing fat from a discreet donor area such as the thighs or abdomen, thinning it out into a liquid like form, then injecting it into the undereye and cheek areas. Using your own tissue not only provides a completely natural anti-aging solution for reducing the appearance of undereye hollows, but also eliminates the risk of allergic reactions, rejection, or reabsorption.


A blepharoplasty, or eyelid lift, is a minimally invasive outpatient surgical procedure designed to rejuvenate the eye area. A lower eyelid lift will surgically remove excess fat through tiny incisions on the inside of the eyelid. Tightening the skin with CO2 laser or redraping of the skin can dramatically improve undereye bags and puffy lower eyelids and create a more alert appearance. Some patients benefit from fat grafting or facial filler after a blepharoplasty to create a healthy refreshed look.

Bruising, swelling, discomfort, and dry eyes are the most common side effects of this surgery. However, for most patients, these effects are minimal, and recovery time lasts approximately two weeks.

Tired of Looking Tired? Call for Your Appointment!

If you are in good overall health yet troubled by the appearance of undereye bags or sunken eyes, contact Hudson Face and Eye today to schedule a consultation about your options. As an extensively trained oculofacial surgeon, Dr. Yogita Kashyap has made undereye bags and hollows a key focus of her professional Manhattan practice, which is devoted to both reconstructive and cosmetic procedures.

Having completed her residency and fellowship at the world-renowned New York Eye and Ear Infirmary, Dr. Kashyap is committed to a high standard of excellence and providing natural-looking results for all her patients.

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