How to Get Rid of Undereye Bags, According to Top Derms

When it comes to signs of aging, you name it, the eyes have it: dark circles, wrinkles, and those dreaded undereye bags. That excess baggage can be tricky to treat, but, depending on the underlying cause (more on that in a moment) there are ways to address it. We tapped top dermatologists to explain why that is, and weigh in on how you can get rid of undereye bags.


What Causes Undereye Bags?
What people refer to as undereye bags are technically herniated fat pads, explains Kristina Collins, MD, a board-certified dermatologist in Austin, Texas. We all have a fat pad underneath the eye; as we age, it becomes more protruded and pronounced.

This is because our skin loses collagen and elastin and becomes more lax, so it can no longer hold the fat pad in place, says Alexandra Bowles, MD, a board-certified dermatologist at MONA Dermatology in Cincinnati, Ohio. It's worth noting that this usually happens in the 50s or 60s. However, many people are genetically predisposed to having more prominent fad pads. If that's the case, you may be dealing with undereye bags at even younger age, she points out.

How Do You Permanently Get Rid of Undereye Bags?
"When you're talking about a herniated fat pad, surgery is the option that makes the most sense," says Dr. Collins. "You can't treat it with creams." This surgery might entail either removing the fat pad entirely, or simply lifting and putting it back into its original position.

That being said, there are some other solutions for reasons like fluid retention and exhaustion, although they're admittedly much less permanent. One choice: Injectable hyaluronic acid filler. This can be used around the crease of the fat pad to help it blend in better and not look so noticeable, says Dr. Collins.

There are also some topical products that claim to immediately treat bags; you may have seen them on infomercials or at mall kiosks. "These act like shrink wrap and do look good—for a short period of time," she explains. They may be worth a try as a quick fix for a special event, but again, keep in mind that those effects will be temporary.

But Sometimes What You Think Are Undereye Bags Is Just Puffiness
It's worth noting that you may not really be dealing with *actual* undereye bags. If it feels like your baggage comes and goes, you're likely dealing with plain old puffiness. There are a number of potential culprits at play.

"One of the most common causes is lack of sleep, as insufficient rest can cause the body to retain excess fluid, leading to swelling in the under ye area. Allergies are another frequent culprit, triggering an inflammatory response and the release of histamines, which can cause fluid retention and puffiness," Dr. Bowles explains.

And having one too many cocktails and/or salty snacks can also contribute. "Alcohol dehydrates the skin and dilates blood vessels, leading to fluid retention and swelling. Consuming too much sodium can cause the body to retain water, which often manifests as puffiness, particularly in thinner skin like that under the eyes," notes Dr. Collins.

The good news? This kind of passing puffiness is fairly easy to deal with, no trip to the dermatologist or plastic surgeon required. Ahead, a few of the best quick fixes.

How to Temporarily Get Rid of Undereye Bags
Chill Out
A chilled eye mask, a bag of frozen peas wrapped in a cloth, or two cold metal spoons pressed against your eyes are all great ways to alleviate puffiness, says Dr. Collins. The cold temperature constricts blood vessels and decreases fluid retention, reducing swelling, she explains. No to mention that it will just feel darn good.

Try Tea Bags
Choose a tea that contains caffeine (black or green is a good option). "Caffeine helps constrict blood vessels and promote circulation, which can reduce puffiness. Simply steep two tea bags, let them cool in the fridge, and apply them to the undereye area for 10 to 15 minutes," Dr. Bowles advises.

Get Rolling
Pick up an eye cream with a metal rollerball applicator. The metal also cools the skin, while the massaging action is great for promoting fluid drainage to alleviate temporary puffiness, says Dr. Collins. Bonus points if that eye cream contains caffeine, per our previous point.

Switch Up Your Sleeping Position
According to Dr. Bowles, this is the simplest and one of the most effective remedies. "Elevating your head while you sleep helps prevent fluid from accumulating in the undereye area, encouraging drainage through gravity. Using an extra pillow or adjusting your bed can help reduce puffiness by morning," she says. FYI, this is an especially good trick to try after a few salty margaritas or on a night when you know you won't be getting lots of sleep and will be prone to waking up puffy.