Undereye Bags: What’s the Best Way to Treat Them?

Dermal Fillers Draper, UT Undereye bags present a problem that most people would prefer to avoid: they make the face appear tired and aged. Here, we will discuss what causes undereye bags (it’s not just an age thing) and what how this problem may be treated – with and without surgery.

Why We Get Undereye Bags

The appearance of puffy, sagging bags under the eyes is not entirely age-related. In fact, most people who come to us for the treatment of undereye bags face multiple factors simultaneously. The most common factors leading to undereye puffiness and lines include fat, muscle, and genetics.


Fatty tissue is the primary problem when discussing undereye bags. The face needs fatty tissue for contouring and softness. However, as we age, the composition and positioning of fat changes. Where fatty tissue once sat on the upper part of the cheek, natural deflation and gravity ultimately degrade this area. Deflation of the cheeks does not coincide with deflation beneath the eyes, thereby leading to an exacerbated appearance of fatty tissue in that area.


There is a membrane around the eye called the orbital septum. This tissue secures fat beneath the eyes, so it stays farther beneath the surface of the skin. With age, this membrane often weakens. As it does, the fat pads beneath the eyes are allowed to protrude forward, causing a bulging appearance.


Undereye bags aren’t entirely related to age. Some people are born with extra fat beneath the eyes and may grow up with mild bulging that increases with age.

Treating Undereye Bags

It is possible – and very common – to treat undereye bags without surgery. Many people improve the appearance of their eyes using dermal fillers. It is important to note here that one’s own fat cells can be used as an organic filler product. Synthetic fillers contain naturally-produced chemicals like hyaluronic acid to restore optimal volume beneath the skin.

When the deflation of the mid-face is the cause of lower eyelid bags, dermal fillers or fat injections are localized to the upper cheek area. Here, the transition between the upper cheek and the lower eyelid is smoothed. This technique is commonly referred to as tear trough rejuvenation. Tear trough rejuvenation may also be beneficial for individuals who naturally have excess fatty tissue beneath the eyes, though a thorough consultation is conducted to discern whether surgery may be a better long-term solution.

Our objective is to help patients achieve the lasting results they want. To consult with our experienced team about surgical and non-surgical eyelid rejuvenation treatments, contact our Draper or Layton office at (801) 776-2220.

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