Eye Bags

As time passes, our eyes can lose their sparkle, weighed down by puffiness and swelling. Whether you're seeking to rejuvenate your appearance, enhance your facial features, or simply feel more confident in your own skin, we're here to help.

Eye Bags
What is it?

What are Eye Bags?

Eye bags typically present as swelling or puffiness around the lower eyelids that affects your overall appearance and self-confidence. They can happen because of fluid buildup, fat moving beneath the eye, and sometimes certain medical issues.

Eye bags are a common sign of ageing, but they can be seen in young adults too. As you age, the soft tissues around your eyes sag, become thin, loose, and wrinkled, accompanied by the loss of structural bony support - giving the appearance of tired eyes.

Clinical AssessmentWhat are Eye Bags?
Understanding the condition

Causes of Eye Bags

High-Salt Diet

Consuming high amounts of salty foods leads to water retention, causing puffiness and swelling under the eyes.

Allergies

Seasonal allergies or sensitivity to certain substances can cause congestion and inflammation, resulting in swollen and puffy eyes.

Medical Conditions

Certain health conditions, such as thyroid issues or fluid retention, can lead to swelling and puffiness under the eyes.

Genetics

If your family members have under-eye bags, you might experience them too, as it can be an inherited physical characteristic.

Natural Ageing

As we age, our skin and muscles lose firmness, leading to sagging and puffiness under the eyes.

Lack of Sleep

Not getting enough restful sleep can cause puffiness and dark circles under the eyes.

Smoking

Smoking can cause vascular constriction, reducing blood flow and leading to puffiness and discolouration under the eyes.

Sinus Trouble

Sinus pressure and congestion can cause puffiness and swelling under the eyes.

Dehydration

Not drinking enough water can lead to dehydration, causing puffiness and dark circles under the eyes.

Stress and Caffeine

High levels of stress leading to sleepless nights and high caffeine intake can cause puffiness and tension under the eyes.

Crying

Excessive crying can cause puffiness and swelling under the eyes due to increased fluid retention.

Accredited & recognised by

Treatment options

Treatments for Bags Under Eyes

Lower Lid Blepharoplasty
Recommended Procedure

Lower Lid Blepharoplasty

This precise surgery removes excess skin, fat, and muscle from the lower eyelids, smoothing the under-eye area. A tiny incision, hidden in the natural crease or inside the lid, allows for a virtually scarless result.

Duration
1-2 hours
Anaesthesia
General
Final Results
Up to 10 years
Dr Sabrina Shah-Desai, Consultant Oculoplastic SurgeonAs seen in Tatler, Beauty & Cosmetic Surgery Guide, 2019-2026
About

Meet the Expert: Dr Sabrina Shah-Desai

MS, FRCS (Ed) Ophth

Dr Sabrina Shah-Desai, MS, FRCS (Ed) Ophth is a multi-award-winning Oculoplastic Reconstructive Surgeon and Aesthetic Practitioner specialising in reconstructive, revisional, and cosmetic surgery of the eyelids, as well as non-surgical treatments for the eyes and face. With 25 years of surgical and 17 years of non-surgical experience, she is globally recognised for her pioneering, minimally invasive techniques.

Named in Tatler’s Beauty & Cosmetic Surgery Guide every year since 2019, she is known as the “go-to” surgeon for discerning patients seeking subtle, natural results, and is highly sought after for revisional procedures by those who have undergone previous fillers or eyelid surgeries.

  • Listed on the Royal College of Surgeons of England register of Board-Certified Cosmetic Surgeons
  • Listed in Tatler’s Beauty & Cosmetic Surgery Guide as a top practitioner for eyes, eight consecutive years, 2019-2026
  • 25 years of surgical and 17 years of non-surgical experience
Patient questions about Eye Bags

Frequently asked questions

Call or email us today, we would be delighted to answer your questions.

  • While Eyebag Surgery is a safe operation, there are risks associated with it. Common risks include:

    • Infection
    • Scarring
    • Large bruise or haematoma
    • Theoretical risk to vision
    • Hollow appearance
    • Temporary poor blink
    • Sagging of the lower lid
  • Unfortunately, it's not possible to completely remove eye bags permanently at home. However, a few natural treatments and lifestyle changes, like using cold compresses, drinking plenty of water, and getting adequate sleep, along with topical skin care with eye serums containing caffeine, can help lessen their appearance.
  • Yes, thyroid problems can cause eye bags. When your thyroid hormones are out of balance, it can lead to fluid buildup and swelling around your eyes, resulting in puffiness and bags. This is because thyroid hormones play a big role in regulating many functions in your body, including fluid balance.
  • Low levels of vitamin B12 and iron deficiency anaemia may contribute to dark circles under the eyes.
  • If home remedies and over-the-counter products are not effective, or if you desire more immediate and noticeable results, medical treatments like dermal fillers, laser therapy, or blepharoplasty may be considered.
  • Eye bags, or periorbital puffiness, typically present with the following symptoms:

    • Loose or sagging skin
    • Minor swelling and puffiness
    • Dark circles
    • Fat deposition
    • Mild redness
Patient stories

Rated five stars by patients across the globe

4.8out of 5 from 240+ Google reviews

Desi StevensRated 5 out of 5 on Google
Simply the best dermatologist for skin care and eye surgery. She is a safe and skilled doctor who is highly experienced and will meet your needs, her approach is a soft and natural aesthetic. She listens and communicates clearly, professionally and in a kind and personable manner. I have been looked after by Dr Sabrina for many years have always been extremely happy with her advice, procedures and results. Highly recommend, she is a talented Dr you can trust.
Kealey HesseyRated 5 out of 5 on Google
Dr Sabrina is the magic eye fairy. Only 10 days after my lower lid bleph and midface lift and nearly all bruising and swelling has gone. After a lot of research, I knew after my initial consultation with Dr Sabrina she was the one I trusted. Such a warm & kind woman. I am so pleased I put my Trust in Dr Shah. Immensely happy with the results and will be back to get my upper eyes done in the future. Thank you to the whole team.
Jo KirbyRated 5 out of 5 on Google
I had been recommended Dr Sabrina by a medical colleague & am extremely glad I made the journey from Southampton to the Perfect Eye Clinic in London to discuss blepharoplasty. The team were all so friendly & very professional and most importantly, Dr Sabrina informed me that I had a bilateral eye ptosis. This explained a number of issues I was experiencing. I will definitely be booking to have a correction of bilateral eye ptosis and upper blepharoplasty. Can't recommend enough.
Shirley FordRated 5 out of 5 on Google
I am so very happy with my experiences at Perfect Eyes. Dr Sabrina is an absolute Star. Extremely talented, very personable I just couldn't be happier with my results and her overall professionalism. But a big part of my review is how lovely the support staff are too. Namely Safiya and Lisa who greet you with such warmness and respect. I highly recommend this clinic as I have done so with many friends.
Radhika RajanRated 5 out of 5 on Google
Top notch surgeon. Dr.Sabrina Shah is the best. Very meticulous and focused. Very experienced and very skillful. Supported by a great team, Irvana at the office is efficient and directs empathy as well towards nervous patients like myself . All in all a great experience.
Tina StonelyRated 5 out of 5 on Google
Dr Sabrina is so so kind and thorough in really assessing and understanding my needs and explaining in detail what works and the pros on cons of each treatment. I trust her implicitly and know she is the best physician in the UK and trainer to physicians for all aesthetic treatments. I cannot recommend her enough. You will not be disappointed choosing Sabrina.
Tanya Del FedericoRated 5 out of 5 on Google
Perfect Eyes provides an exceptional experience from start to finish. The team is warm, professional and highly knowledgeable, and every aspect of the consultation feels thorough and personalised. Sabrina combines outstanding surgical expertise with a genuine commitment to achieving natural, elegant results, taking the time to explain every option and ensure patients feel completely at ease. The care, attention to detail and standard of service are second to none. I would highly recommend Perfect Eyes to anyone looking for expert oculoplastic and aesthetic care.
Minda WangRated 5 out of 5 on Google
I am so happy with my experience. The results look natural, and I feel like a fresher version of myself since having my Biostimulation treatment with Doctor Sabrina. The whole experience was comfortable and professional, and I felt supported and well cared for throughout. I would definitely recommend this treatment to anyone looking for a natural-looking boost.
Samantha AndrewsRated 5 out of 5 on Google
Amazing. I’m so happy with the results. Sabrina is a master. She also has a wonderful bedside manner. I can’t recommend Sabrina and her team enough. Worth double the money. 👏🏻
Hayley PearsonRated 5 out of 5 on Google
I was lucky enough to first meet Sabrina 9 years ago & have never used anyone else since. She has helped transform my appearance; with natural looking aesthetics. I currently live abroad, however remain dedicated to stay a patient of Sabrina. What’s 3,500 miles when you have found the best in the business!
From the journal

Related Blogs

Dark Circles vs Eye Bags: Know the Real Difference and How to Treat Them
Dark Circles vs Eye Bags
Dr Sabrina Shah-Desai · 3 Nov 2025

Dark Circles vs Eye Bags: Know the Real Difference and How to Treat Them

Ever looked in the mirror after a long day and thought, “Why do my eyes look so tired?” You’re not alone. The under-eye area is one of the most…

Bags Under Your Eyes - Your Ultimate Guide
Blog
Dr Sabrina Shah-Desai · 23 Sept 2024

Bags Under Your Eyes - Your Ultimate Guide

Eye Bags or Under Eye Bags are a frequent concern related to appearance that can give the impression of fatigue, age, or poor health. The causes of…

How to Remove Under Eye Bags Permanently
Blog
Dr Sabrina Shah-Desai · 27 Aug 2024

How to Remove Under Eye Bags Permanently

Are you curious about why your eyes look swollen or how to remove under eye bags permanently ? The good news is that while they can be annoying, bags…

How To Get Rid Of Eye Bags? Causes, Risks & Treatments
Eye Bag
Dr Sabrina Shah-Desai · 2 Jul 2024

How To Get Rid Of Eye Bags? Causes, Risks & Treatments

Do you have puffy eyes? If so, you're not alone. Most people experience puffiness and bags under the eyes at some time in their lives. While eye bags…

How To Get Rid of Bags Under Eyes in Men?
Under Eye Bag
Dr Sabrina Shah-Desai · 12 Mar 2026

How To Get Rid of Bags Under Eyes in Men?

To get rid of bags under the eyes in men, you must identify the exact cause and choose the right medical procedure. Doctors use lower eyelid surgery,…

Malar Bags: Causes, Symptoms & Best Treatments to Smooth Your Cheeks
Festoon and Malar Bag
Dr Sabrina Shah-Desai · 11 Dec 2025

Malar Bags: Causes, Symptoms & Best Treatments to Smooth Your Cheeks

Seeing puffiness or swelling just below the eyes can be frustrating, especially when it doesn't go away with rest or skincare. This area, known as…

Book Your Consultation Today

Get personalised advice and expert care from our top medical professionals at 121 Harley Street, London.

Visit us
121 Harley Street, London
Mon to Fri9:30am to 6:00pm
Sat & SunClosed
Contact us

Contact our clinic

Speak to our team about which treatment suits you, or arrange a private consultation at 121 Harley Street.

Call or message020 7183 5121
Opening hoursMon to Fri9:30am to 6:00pmSat & SunClosed
Our locationPerfect Eyes Clinic, 121 Harley Street, London, W1G 6AXGet directions

Request a call back