Tired of under-eye bags? Discover the best non-surgical & surgical treatments to reduce puffiness, tighten skin, and rejuvenate your look.
Under-eye bags can make you look tired and aged, even well-rested. They can be caused by aging, genetics, fluid retention, or lifestyle habits. Fortunately, numerous treatments are available, from non-surgical remedies to advanced surgical options, to help refresh and rejuvenate your eye area.
Contact St. Louis Dermatology & Cosmetic Surgery to discuss the best under-eye bag treatment for you!

What Causes Under-Eye Bags?
Before choosing a treatment, itโs essential to understand what causes under-eye bags in the first place:
- Aging: As you age, the skin loses collagen and elasticity, leading to sagging and fat accumulation under the eyes.
- Genetics: Some people naturally have puffier under-eyes due to hereditary factors.
- Fluid Retention: Poor diet, high sodium intake, or dehydration can cause swelling.
- Lack of Sleep: Insufficient rest can lead to fluid accumulation and dark circles.
- Allergies & Sinus Issues: Chronic allergies and sinus congestion contribute to puffiness and inflammation.
Best Non-Surgical Treatments for Under-Eye Bags
If you’re looking for non-invasive solutions, these treatments can reduce puffiness, tighten skin, and improve circulation without surgery.
Topical Skincare Products
- Vitamin C Serums: Brightens dark circles and strengthens skin.
- Retinol Creams: Stimulates collagen production and improves skin texture.
- Caffeine-Based Eye Creams: Help constrict blood vessels and reduce puffiness.
- Hyaluronic Acid: Hydrates and plumps the under-eye area.
Botox for Under-Eye Wrinkles
- Best for: Fine lines and wrinkles that contribute to a tired look.
- How It Works: Relaxes muscles to smooth dynamic wrinkles.
- Results: Lasts 3-4 months, requires maintenance.
Injectable Dermal Fillers
- Best for: Hollowness or volume loss under the eyes.
- Common Fillers Used: Hyaluronic Acid-based fillers like Juvederm or Restylane.
- How It Works: Fills in tear troughs to smooth out under-eye shadows.
- Results: Lasts 6-12 months with minimal downtime.
Laser Skin
Resurfacing
- Best for: Mild under-eye bags, wrinkles, and dark circles.
- How It Works: Laser energy stimulates collagen production and tightens skin.
- Popular Lasers: CO2 laser, Fraxel, or Erbium laser.
- Results: Gradual improvement over 3-6 months.
Radiofrequency (RF)
Skin Tightening
- Best for: Loose skin under the eyes.
- How It Works: Heat stimulates collagen production and firms the skin.
- Popular Treatments: Morpheus8 RF Microneedling, Thermage.
- Results: Tightening effects appear over several weeks to months.
LED Light
Therapy
- Best for: Mild puffiness and inflammation.
- How It Works: Red and infrared light reduces swelling and promotes circulation.
- Results: Best when used regularly over time.
Best Surgical Treatments for Under-Eye Bags
Surgical procedures offer long-lasting and dramatic improvements if non-surgical treatments aren’t enough.
Lower Blepharoplasty (Eyelid Surgery)
- Best for: Moderate to severe under-eye bags caused by fat accumulation.
- How It Works: Removes or repositions fat pads and tightens skin.
- Results: Permanent improvement with 2-3 weeks of downtime.
Laser Blepharoplasty (Non-Incisional Eyelid Surgery)
- Best for: Mild to moderate puffiness with good skin elasticity.
- How It Works: A CO2 laser tightens and removes excess tissue without incisions.
- Results: Quicker recovery (1-2 weeks) than traditional surgery.


Canthopexy (Eyelid Tightening Surgery)
- Best for: Sagging lower eyelids.
- How It Works: Tightens the ligaments around the lower eyelid.
- Results: More youthful, lifted under-eye area.
Fat Transfer to the Under-Eyes
- Best for: Volume loss rather than puffiness.
- How It Works: Transfers fat from another area (like the thighs) to the under-eye area.
- Results: Long-lasting and natural-looking enhancement.
Which Treatment is Right for You?
Choosing the best treatment depends on:
- Severity of your under-eye bags (Mild = fillers/lasers, Severe = surgery)
- Your age & skin type (Younger patients may benefit from non-invasive options)
- Desired downtime & budget.
Say Goodbye to Under-Eye Bags!
Whether you prefer a quick fix with fillers or a long-term solution with surgery, under-eye bags are treatable with advanced medical and cosmetic treatments. At St. Louis Dermatology & Cosmetic Surgery, we offer personalized solutions to help you achieve a refreshed, youthful look.
๐ Book Your Consultation Today!
Contact St. Louis Dermatology & Cosmetic Surgery to discuss the best under-eye bag treatment for you!
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