Eye Bags

No matter how many eye masks you try, they may not be a match for puffy eye bags. The board-certified plastic surgeons at Sanctuary Cosmetic Center know how much bags under your eyes can change your appearance. That’s why they offer a number of nonsurgical treatments at their state-of-the-art offices in McLean, Virginia. Schedule an appointment with a board-certified cosmetic surgeon by calling or booking online today.

Eye Bags Q&A

What are eye bags?

Eye bags are pockets of fat and tissue that collect underneath your eyes. They may look puffy or saggy and almost always increase with age. As you get older, the skin and connective tissue surrounding your eyes begin to relax, causing fat that typically supports the eyes to accumulate under the lower lids. 

Bags under the eyes are rarely a cause for concern, but they can diminish your confidence and self-esteem.

What causes eye bags?

While the most common cause of bags underneath the eyes is age due to the natural loss of fat and collagen, other causes include:

Thyroid eye disease

Thyroid eye disease can cause severe inflammation of the eyelids, eye muscles, and tissue behind the eye. Many people with the condition struggle with “bulging eyes” that look puffy and uncomfortable. Without treatment, inflammation and fluid retention may lead to bags collecting beneath the eyes.


Tobacco products produce substances that can damage the elasticity of the skin surrounding your eyes. Smoking also disrupts your sleep patterns, which leads to increased fluid retention beneath the eyes.

Poor sleep

Sleep gives your body a chance to recover and repair damage. Without healthy sleep patterns, fluids can build up throughout your body, giving the skin beneath your eyes a puffy appearance.


Many people with severe bags under their eyes are genetically predisposed to the condition. This is particularly true if you have noticeable eye bags in your 20s or 30s.

How do I know if I need treatment for eye bags?

The first step in treating eye bags is figuring out what caused them in the first place. Once the providers at Sanctuary Cosmetic Center review your family and medical history, evaluate any medications or supplements you take, and examine your eyes, they can recommend the right treatment for you.

Dr. Rostami is a national trainer for injectable fillers to reduce the appearance of puffy bags underneath the eyes. Sanctuary Cosmetic Center offers both Juvéderm® and Restylane®, injectable fillers that are proven to treat eye bags.

How do surgeons correct eye bags?

As an experienced cosmetic surgeon, Dr. Soheila Rostami’s goal is to perform every procedure with as little trauma as possible. That’s why she injects fillers with a cannula. A cannula is a blunt-tipped tube that can’t penetrate the skin.

Traditionally, physicians use needles to inject fillers because they offer deeper penetration of the filler. However, they’re less indiscriminate than cannulas, which increases their risk of passing through veins and arteries. Because needles are extremely sharp, they typically lead to more bruising and swelling than a cannula.

When injecting a filler, Dr. Rostami punctures the skin with a needle and passes the cannula through the access hole before releasing the injection. This results in minimal bruising, swelling, and overall damage to the skin.

For expert treatment for eye bags, call Sanctuary Cosmetic Center or book a visit online today.

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