Aesthetics, Conditions Services

Eye Bags

Eye bags refer to the puffiness or swelling that occurs beneath the eyes, resulting in a tired or aged appearance. They are a common concern for many individuals and can be caused by a variety of factors. Fortunately, there are several treatment options available to address and minimize the appearance of eye bags. This page will explore the causes of eye bags, grading systems used to assess their severity, and various treatment approaches, including laser therapy, fillers, skin boosters, threads, and biostimulators.

Causes of Eye Bags

Eye bags can be caused by a combination of factors, including:

  1. Aging: As we age, the skin around the eyes becomes thinner and loses elasticity, leading to the accumulation of fat and fluid beneath the eyes. The bone and fat volume changes also contribute to the defect. Lymphatic drainage is also affected with aging changes leading to further puffiness.
  2. Genetics: Some individuals are genetically predisposed to developing eye bags due to hereditary factors such as weak or sagging skin, or a tendency to retain fluid in the under-eye area.
  3. Lifestyle Factors: Poor sleep habits, excessive alcohol consumption, smoking, and a high-sodium diet can contribute to the development of eye bags.
  4. Allergies and Sinus Issues: Allergies and sinus problems can cause inflammation and fluid retention, leading to the appearance of eye bags.
  5. Sun Exposure: Excessive exposure to the sun’s harmful UV rays can accelerate the breakdown of collagen and elastin in the skin, contributing to the formation of eye bags.
  6. Chronic diseases: Certain chronic conditions like thyroid disease, heart disease and kidney disease lead to water retention which contributes to the puffy eyes problem.

Grading of Eye Bags

Eye bags can be graded based on their severity and appearance. The grading system helps determine the most appropriate treatment approach. The commonly used grading system includes:

  1. Grade 1: Mild puffiness with minimal skin laxity
  2. Grade 2: Moderate puffiness with mild to moderate skin laxity
  3. Grade 3: Significant puffiness with noticeable skin laxity
  4. Grade 4: Severe puffiness with pronounced skin laxity and deep tear troughs

Treatment Options for Eye Bags

Laser Therapy

Laser treatment can help tighten and rejuvenate the skin around the eyes. Fractional laser resurfacing stimulates collagen production, which can improve the appearance of eye bags. Laser therapy can also target pigmentation concerns and improve skin texture.


Dermal fillers containing hyaluronic acid can be injected into the under-eye area to add volume, reduce hollowness, and smooth out the appearance of eye bags. This treatment option can provide immediate results with minimal downtime.

Skin Boosters

Skin boosters, such as injections of hyaluronic acid or other moisturizing substances, can hydrate the skin, improve elasticity, and reduce the appearance of eye bags.


Thread lifting involves inserting dissolvable threads beneath the skin to lift and tighten the under-eye area. This treatment stimulates collagen production, providing long-lasting results.


Biostimulators, such as poly-L-lactic acid, Ca HA, PCL, PDLLA can be injected into the under-eye area to stimulate collagen production and improve skin thickness and elasticity, leading to a reduction in the appearance of eye bags.


Eye bags can be a cosmetic concern for many individuals, but fortunately, there are several effective treatment options available. Laser therapy, fillers, skin boosters, threads, and biostimulators can help minimize the appearance of eye bags and rejuvenate the under-eye area. It is important to consult with a qualified healthcare professional to determine the most suitable treatment approach based on the severity of the eye bags and individual preferences. With the right treatment plan, individuals can achieve a more refreshed and youthful appearance.