The skin tissue around the eyes, one of the most important and aesthetically significant organs of the face, is quite thin and delicate. As age progresses, the skin surrounding the eyes loosens and weakens, resulting in sagging. These sagging areas, resembling pouches under the eyes, create a suitable environment for the accumulation of excess fluid in the body. Under-eye bags, which do not create a pleasant aesthetic appearance, are generally harmless. However, in some cases, there may be a serious underlying issue. This condition generates aesthetic concerns for both men and women and can also trigger problems such as eye fatigue, headaches, and difficulty concentrating.

Why Do Under-Eye Bags Occur?

As age progresses, some muscles supporting the eyelids and tissues around the eyes begin to weaken. Additionally, collagen, the main component of connective tissue in all body regions, decreases with age, reducing the elasticity of the muscles around the eyes and increasing deformation. In addition to aging, the factors contributing to under-eye bags include:

• Genetics

• Poor dietary habits and inadequate hydration

• Allergic condition

• Eczema

• Chronic eye fatigue

• Exposure to sunlight

• Infections

• Stress

• Insomnia

• Edema

• Thyroid problems

If under-eye bags reach significant sizes, become painful, itchy, or lead to problems such as redness, it is essential to consult a specialist physician.

How to Get Rid of Under-Eye Bags?

Under-eye bags can be treated with various methods depending on the cause, similar to other conditions. If swelling is observed due to fluid accumulation in under-eye bags, some home remedies can temporarily alleviate the swelling.

Cold Compress

Applying cold to the swollen area can reduce inflammation and swelling by decreasing blood flow in that area. You can apply a cold compress, ice pack, or cooled cucumber slices to the under-eye area.


Caffeine is a vasoconstrictor, meaning it narrows blood vessels. Using under-eye creams containing retinol and caffeine may reduce puffiness and the appearance of dark circles. You can also try placing cooled tea bags (caffeinated black tea) on the under-eye bags for relaxation.

However, these methods may not be sufficient to effectively eliminate under-eye bags. Non-surgical medical options can help reduce the appearance of bags.


Injecting filler material containing hyaluronic acid is often used to create a smooth transition from the under-eye area to the cheek area. The filler is injected into the patient under local anesthesia.

Laser Treatment

Laser treatment is used to reveal the deeper layers of skin in the under-eye area and promote new collagen synthesis. This may result in a tighter under-eye area.

Microneedling (Dermapen)

Microneedling creates controlled damage to the under-eye tissue, prompting the skin to renew itself by stimulating collagen synthesis cells. In other words, it triggers the skin’s repair mechanism, allowing cells in the under-eye area to renew and form a tighter structure.However, the most definitive way to permanently eliminate under-eye bags is through eyelid surgery.

How is Under Eye Surgery Performed?

To completely get rid of under-eye bags that give you a tired and aged appearance, you can opt for under-eye bag surgery. Prior to this surgical procedure, your doctor examines the eye area and under-eye bags to determine the appropriate method to follow. They assess the excess skin, the degree of laxity in the eyelids, and the amount of fat present. The surgery, typically performed under general anesthesia, involves removing excess skin and fat layers under the eyes. The under-eye area is tightened, resulting in a more vibrant appearance. Generally, the procedure takes approximately 1.5-2 hours.

After under eye surgery, it is essential to pay attention to the following:

Under eye surgery is not a painful procedure, and if there is any pain after the procedure, it is essential to consult a doctor. Stitches are removed within a week at the latest, and the individual can return to their social life. Swelling and edema may occur around the eyes after surgery. This condition completely disappears within four weeks. It is important to use a high pillow when lying down and avoid lifting heavy objects. Additionally, you should refrain from using blood thinners, engaging in heavy physical activity, and lifting heavy objects. Avoid severe coughing, sneezing, and straining.

The area around the eyes is a very sensitive part of the face. If procedures are done incorrectly, serious complications can arise. You can contact Plastic and Aesthetic Surgeon Op. Dr. Sedat Baş, one of the best surgeons in the field, and his experienced team for more detailed information about eyelid aesthetics.