Click Here To Schedule A Consultation

Schedule a Consultation

  • This field is for validation purposes and should be left unchanged.

Our eyes are often the first thing a person notices about us, and for those of us who have mild to severe under-eye bags, that first glance can make us appear tired, haggard, or older than we really are. Under-eye bags can have a variety of causes, and can look different depending on the natural aging process, genetics, and bone structure of each individual. Though many eye creams, concealers and other products claim to help with under-eye bags, few are able to completely revitalize the eye area, which can leave patients feeling frustrated.

Thankfully, when it comes to under-eye bag treatment, board-certified dermatologist Dr. Michele Green in NYC is here to help. Dr. Green is a an expert in cosmetic dermatology, injecting the tear trough with under eye fillers such as Restylane and Juvederm, treating dark circles with chemical peels, laser resurfacing procedures, Thermage skin tightening, and other non-invasive procedures. Dr. Green’s MGSKINLAB’s line of products contains some of the best skin care ingredients to improve both facial pigmentation and under-eye-circles.

With a complete understanding of the aging process and a conservative nonsurgical approach to facial and under-eye rejuvenation, Dr. Green has been consistently voted one of the best cosmetic doctors in New York. With the most cutting edge lasers and treatment modalities, Dr. Green will help treat fine lines, remove unwanted pigmented, and increase collagen production and skin elasticity without surgical intervention.

JA 33 restylane under eyes 2s MGWatermark

Restylane under eyes

What do under-eye bags look like?

Under-eye bags are usually defined as puffiness under the eyes, and is a natural part of the aging process for many adults. As we age, natural volume loss under the eyes and midface can leave us with puffy eye pockets below the lower eyelid. However, under-eye bags are not merely a sign of aging. Under-eye bags can also develop due to genetics or lifestyle habits, or even due to eczema or allergic reactions.

Dark Circles

Dark Circles are a frequent cosmetic concern among patients, and is often due to age-related volume loss in the midface and eye area. Dark under-eye circles can often accompanied under-eye bags, and can often be treated through similar cosmetic procedures such as dermal fillers. Dermal fillers, injected into the tear trough hollows, will instantly restore lost volume and rejuvenate the delicate under-eye area. Dr. Green utilizes Restylane, Juvederm, and Belotero, to treat this area of the face.

Dark circles are caused by a host of reasons including aging, fatigue, allergic reactions, dehydration, sun overexposure, or genetics. One of the best new ways to treat dark circles around the eyes is with Mesopeel Periocular peels. This unique method of skin lightening dark circles around the eyes consists of a series of chemical peels with absolutely no recovery time. In addition, a special skin brightening cream can be used at home to complement the effects of these chemical peels.

Puffy Eyes

Under-eye bags are typically thought of as those pockets of eye puffiness that rest below the lower eyelids. They can be caused by a variety of issues, including aging, lack of sleep, fluid retention (often due to salty foods), allergies, pigmentation issues, and sun damage. Additionally, under-eye bags can be due to excess fat that naturally droops down below the lower eyelids due to aging. A baggy look under the eyes can be improved through certain skincare products, as well as non-invasive procedures such as hyaluronic acid fillers for new collagen production and laser resurfacing for skin tightening in the eye area. In severe cases, a surgical procedure, or blepharoplasty, may be needed to remove these excess fat deposits.

IR 23 botox and juvederm before after FRONT 2 MGwatermark

Before and After of Female patient (Botox & Juvederm)

What can cause under-eye bags?

Under-eye bags can be caused by a wide variety of lifestyle choices. If you want to reduce the appearance of under-eye bags or prevent under-eye bags from developing, it’s useful to think about the following potential causes:

Smoking and Drinking

Both smoking and drinking can cause issues with the appearance of the skin. Smoking produces substances that cause premature aging, which in turn can reduce the amount of collagen and elastin in the skin–the natural agents that keep the skin healthy and firm. Additionally, smoking can restrict blood vessels in the skin, leading to less oxygen and vitamins reaching the skin’s surface. In turn, this can lead to the appearance of aging, and the appearance of fine lines and wrinkles, in the eye area. Additionally, alcohol consumption can dehydrate the body, which can lead to weakened elasticity under the eyes.

Sun Exposure

Overexposure to the sun is one of the leading causes of aging around the eye area. Frequent sun exposure can lead to damage when it comes to collagen and elastin fibers under the eye, which can then lead to sagging or drooping skin. Sun exposure can also cause discoloration or other pigment issues, such as brown spots or sun spots, particularly for those with paler skin tones. For this reason, Dr. Green recommends everyone wear a 30 SPF or higher sunscreen on a daily basis to protect the skin against sun damage, either incorporated into their moisturizer or as an additional skincare protection.


Oftentimes, the likelihood that any one of us will develop dark circles or under-eye bags is based on our DNA. In this case, early treatment for under-eye bags is highly recommended, as early intervention can prevent under-eye bags from worsening and provide optimal results. If you have noticed progressive worsening of puffiness under the eyes, contact Dr. Green right away to see what treatment options are available to you.


Simple changes in diet can help to reduce the appearance of under-eye bags. Reduced salt intake can prevent fluid retention in the body, which is often the cause of puffiness under the eyes. Additionally, an increase in the amount of Vitamin C you incorporate into your diet can help when it comes to producing new collagen. Foods rich in Vitamin C include brussel sprouts, kale, oranges, and strawberries. By merely adjusting your daily meals and increasing the amount of water you drink in a day, you can help improve the health and appearance of your skin.

mesopeel 3 1379132303

Do under-eye bags go away?

Under-eye bags can be caused by a variety of different issues, and some can in fact be reduced through certain lifestyle changes. A change in diet, increased sleep, and hydration can all help to reduce the appearance of under-eye bags. However, for most patients, cosmetic treatment will be necessary in order to rejuvenate the under-eye area. Dr. Green offers a variety of non-invasive, outpatient procedures designed to effectively reduce the appearance of under-eye bags.

Botox for under-eye bags?

Dr. Green is an expert in cosmetic Botox injections and uses Botox, Dysport and Xeomin neurotoxins to treat fine lines around the forehead, glabella, neck, masseter and the fine lines around the eyes. With many patients, the first visible signs of aging around the eyes are the Crow’s feet that develop from smiling and squinting. Botox is the best treatment to remove these fine lines and rejuvenate the eye area. Dr. Green does not advise Botox to treat the under eye area as this often increases the cosmetic appearance of under-eye bags.

Can you get rid of under-eye bags?

Many patients wonder how to deal with under-eye bags, and worry that under-eye bags will be with them forever. However, under-eye bags can easily be treated with a variety of non-invasive cosmetic procedures, skincare routines and, occasionally, antihistamines.

What can you do about under-eye bags?

Thankfully for those desperate to learn how to fix under-eye bags, there are many different solutions that can help. If you’re suffering with puffiness due to allergens or irritants, you can turn to allergy medications in order to curb your under-eye bags. If you have a genetic predisposition to under-eye bags, or have seen your under-eye bags progress due to aging, there are several cosmetic procedures and treatments that can help. Dr. Green is an expert in cosmetic dermatology and anti-aging techniques, and can help to rejuvenate your skin with treatments that are fast, easy, and require little to no downtime.

How to relieve under-eye bags

Dr. Green can carefully curate a treatment plan to help you with what to use to get rid of bags under the eyes. When you work with Dr. Green, she will be able to carefully assess your skin and medical history, determining any potential cause of your under-eye bags or dark circles. From there, she’ll be able to curate a treatment plan that best serves your needs. Her patients benefit from state-of-the-art techniques to reduce the appearance of under-eye bags and the signs of aging or sagging in the eye area. Many patients have had success with one or more of the following treatment options.

Hyaluronic Acid Fillers

Hyaluronic acid fillers, such as Juvederm and Restylane, are a popular method to reduce the appearance of dark circles and under-eye bags, as well as for all-over eye rejuvenation. Dermal fillers are designed to stimulate collagen production in the skin, which in turn can correct volume loss around the eyes, thereby reducing the appearance of bags, dark circles, and fine lines within the treatment area. Dr. Green is an artful dermal filler injector who uses the “less is more” approach in order to create a revitalized look to your eyes. The appointment for a dermal filler procedure typically lasts around a half hour, and patients can resume normal activity right after, though Dr. Green recommends patients sleep with an extra pillow in order to prevent any temporary swelling.


Microneedling, also known as collagen induction therapy, is an excellent non-invasive way to revitalize the skin. Microneedling uses tiny pinpricks to activate the natural healing process of the body, which in turn rejuvenates and strengthens the skin below the lower eyelid. Microneedling is a fast and easy way to reduce the appearance of eye bags without the need for invasive surgery or downtime.

microneedling nyc

Thermage laser for Skin Tightening

Thermage and the new Thermage FLX is the gold standard in facial skin tightening, including the delicate under eye area. Thermage uses radiofrequency energy to stimulate collagen production in the skin. It’s designed to heat the deeper layers of the skin while keeping the surface of the skin cool, which in turn can create firmer, younger-looking skin. Thermage and Thermage FLX are FDA-approved to tighten skin and reduce the appearance of aging all along the body. The new Thermage FLX has built upon everything great about Thermage treatment, while creating a faster and more precise treatment, leading to glowing results in as little as a half hour with no downtime necessary.

Chemical Peels

A chemical peel is able to revitalize baggy or sagging skin under the eyes through the removal of dead skin cells along the superficial top layer of the skin. This then allows healthy new skin cells to be exposed, which can help to make the skin firmer, as well as reduce fine lines, discoloration, pigment, and other visible signs of aging on the skin. Dr. Green uses custom formulations for her chemical peels in order to incorporate the best nourishing serums and skin care treatments for each individual patient.

Laser Resurfacing

Non-ablative laser resurfacing treatments, such as the Fraxel laser treatment, can be used to tighten and firm wrinkly skin under the eyes, as well as diminish the appearance of pigment discoloration in the eye area. The amount of collagen production that laser resurfacing activates can lead to lasting improvement in under-eye bags with virtually no recovery time. The eMatrix laser was developed with a special tip to treat the delicate under eye area. Through radiofrequency technology, the eMatrix can tighten the skin around the delicate under eye, remove fine lines, decrease pigmentation, and increase collagen production.

Eye Creams

There are many eye creams that tout immediate results and do not hold up to their promise. However, a truly great eye cream can make a huge difference when it comes to the appearance of dark circles, under-eye bags, or signs of aging in the eye area. Dr. Green’s MGSKINLAB’s Intensive Eye Repair is a cooling eye gel that is able to lessen the appearance of fine lines, puffiness, and dark circle, while helping to firm the skin around the eyes and her Eye Repair cream is replete with Retinol to remove fine lines and discoloration and lighten the dark circles around the eyes.

Sinus Relief

For some patients, the development of under-eye bags can be sparked by an allergen or irritant that then leads to swelling. In this case, Dr. Green can prescribe allergy medication, or recommend a regimen of sinus clearing, such as the use of a neti-pot, to reduce any swelling under the eyes.

Is it possible to get rid of under-eye bags with home remedies?

Under-eye bags are frequently treated with home remedies, though the effectiveness of some these treatments have yet to be widely studied. If you suffer with under-eye bags, your best option is to talk with Dr. Green before choosing any treatment option. Nevertheless, a doctor recommended at-home skincare routine can do wonders for dark circles or bags under the eyes.

At-home Skincare

Retinol creams are derived from Vitamin A and can help with a variety of skin issues, from acne to aging to even psoriasis. Many retinol creams are designed to improve collagen production within the skin, and vary in terms of concentration to provide the best results. Learn more about the positive effects of retinol creams in Dr. Green’s article with Forbes.

A helpful daily skincare routine with SPF of 30 or higher is a simple, vital way to protect the skin in the eye area from being exposed to harmful sun exposure. Skincare products like MGSKINLAB’s Antioxidant Facial Sunscreen SPF 30 can help to simultaneously protect the skin against the sun’s rays and revitalize the skin with nutrients like Vitamin C, A, and E, as well as Green Tea extract.

Though most standard eye creams and lotions are unable to hold up to the promise of revitalized eyes and under-eye bag reduction, a good at-home regimen of doctor-recommended eye cream can make a difference. MGSKINLAB’s Intensive Eye Repair is a twice-daily skincare product that many of Dr. Green’s patients swear by, and it has even been featured in InStyle Magazine.

Tea Bags

Some suggest the use of tea bag applications on the eyes in order to improve the appearance of dark circles and bags, as tea contains a variety of antioxidants and the caffeine in black and green tea may help increase blood flow to the skin. Tea also has anti-inflammatory properties that can reduce the size of under-eye bags. Green tea application (as well las green tea based face masks and moisturizers) has been recommended by certain studies.

Cold Compress

A simple cold compress can be used to help mitigate the appearance of under-eye bags. The cold compress can help to constrict blood vessels, which in turn can temporarily relieve the appearance of dark circles or puffiness. When applying a cold compress, it’s important to use a soft washcloth on the skin to prevent the skin from getting too cold.

restylane under eye 670415890

Can you get rid of under-eye bags permanently?

Under-eye bags can be removed through the use of eyelid surgery, also known as blepharoplasty. In this procedure, the surgeon removes excess fat from an incision in the natural crease of the upper eyelid or inside lower lid. However, the increased risk of side effects, ample recovery time, and imperfect results have made the surgical eyelift a far less popular treatment option in recent years.

What is the best under-eye bag treatment?

The best under-eye bag treatment varies depending on the individual needs of each patient. When you work with Dr. Michele Green, she will help you to develop a treatment plan that’s best for you, from treating under-eye bags to dark-circles to all-over facial rejuvenation. Dr. Green is consistently voted one of the best dermatologists in NYC, with her expertise in non-invasive anti-aging treatments and skin care.

If you’re dealing with unwanted under-eye bags, there are many treatments which will help rejuvenate your dark circles, fine lines, and pigmentation. Please contact us online today to schedule a private consultation with Dr. Green in her discreet boutique New York office, or call 212-535-3088.

Related Topics

Call Us +12125353088