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Draelos ZD, et al. (2021). Efficacy evaluation of a topical hyaluronic acid serum in facial photoaging. Not-so-fun fact: The skin under your eyes is ten times thinner than any other skin on your body, which makes it more prone to swelling (caused by gathering excess fluids), and discolouration (the network of blood vessels visible through transparent skin). This is why the area is prone to puffiness and dark circles, aka eye bags. Preparing a list of questions will help you make the most of your time with your health care provider. For bags under eyes, some basic questions to ask your health care provider include: When the bags under your eyes are a result of environmental or health issues, simple home remedies and lifestyle changes may help reduce their appearance. Several non-invasive techniques can help reduce the appearance of under-eye bags, ranging from cool compresses to topical creams (though results can vary). If you want to remove eye bags more permanently, a cosmetic procedure called blepharoplasty can tighten and smooth out the skin under your eyes.

Cryotherapy (i.e., usings chilled or frozen tools, eye masks, and devices to temporarily constrict blood vessels and deflate some puffiness fast)You may not like the way they look, but bags under eyes are usually harmless and don't require medical care. See your health care provider if the condition causes vision problems, irritation or headaches or is accompanied by skin rash. Under-eye bags are mostly a cosmetic issue. They’re usually harmless, but can sometimes be a sign of an underlying medical condition. Depending on what's causing bags under the eyes, eyelid surgery (blepharoplasty) may be a treatment option. Your surgeon will tailor your blepharoplasty (BLEF-uh-roe-plas-tee) to your unique anatomy and needs, but in general the procedure involves removing excess fat through an incision in the natural crease of the upper eyelid or inside the lower lid. The procedure is usually done in an outpatient setting with local anesthesia. It could also be that your folks passed on the gift of deep-set eyes (cheers, guys), something even an industrial-strength concealer won’t disguise. “Pigmentation problems can also run in families of colour due to extra melanin in the skin,” adds Ezra.

Skincare routine (see: always, always removing makeup and washing your face to prevent skin irritation and eye puffiness) Drink enough water. Common guidance suggests adult women drink 2.3 quarts of water a day and adult males drink 3.2 quarts a day. But Cleveland Clinic recommends talking to your doctor to get the most accurate amount. Medical conditions: Some health conditions such as thyroid problemscan cause the eyes to become swollen. While you may not be able to get rid of eye bags, you may be able to reduce their appearance with some practices and topical products. These can include getting enough sleep, sleeping elevated, quitting smoking if you smoke, and applying sunscreen. Topical products containing retinol may also help. How can I tighten the skin under my eyes?Göllner I, et al. (2017). Ingestion of an oral hyaluronan solution improves skin hydration, wrinkle reduction, elasticity, and skin roughness: Results of a clinical study. If you’re considering surgery for the bags under your eyes, your surgeon will be able to lay out the process in detail, explain the risks involved, and answer any questions you have. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Lifestyle changes (like reducing sodium intake to curb fluid retention in your skin, getting more sleep, reducing major life stressors, etc.)

Cut down on fluids before bedtime and limit salt in your diet. This will reduce the fluid retention that can cause bags under eyes. Halt the salt. If you’re a little heavy-handed with the salt shaker -- or enjoy high-sodium foods like pizza and potato chips -- switch to something less salty. Sodium makes your body retain fluid and can cause bags to form. Use a cool compress. Wet a clean washcloth with cool water. While sitting up, apply the damp washcloth to the skin under and around your eyes for a few minutes using light pressure. Lee KE, et al. (2019). Evaluation of caffeine as inhibitor against collagenase, elastase and tyrosinase using in silico and in vitro approach. Reduce allergy symptoms. Avoid allergens when possible. Try nonprescription allergy medications. Talk to your health care provider about prevention strategies if you develop under-eye reactions due to hair dyes, soaps, cosmetics or other allergens.Beyond how you sleep, how much you sleep is also a factor. Although limited sleep may not actually cause under-eye circles, getting little sleep may make your complexion paler. Any shadows or dark circles you have may be more obvious as a result.

Avoid stimulants including caffeine and nicotine in the hours before bedtime. The effects of caffeine can last up to 8 hours. Vrcek I, et al. Infraorbital dark circles: A review of the pathogenesis, evaluation and treatment. Journal of Cutaneous and Aesthetic Surgery. 2016; doi:10.4103/0974-2077.184046. If you’re fed up with under-eye bags, these medical treatments can improve and even eliminate them: https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day Filler: This treatment places a filler material (usually hyaluronic acid, which is a jelly-like substance) where the under-eye area and cheek meet to create a smooth transition. The injection is performed in a doctor’s office under local anesthetic. Results last six to 12 months.Hemorrhoid creams contain phenylephrine, which constricts blood vessels and can temporarily tighten the skin under the eyes. This can temporarily reduce some of the swelling, according to Johns Hopkins Medicine. But be very careful not to get the cream in your eyes.