Do Under Eye Creams Work? Eye Bags Causes and Treatment

Under eye creams cannot melt the fat that causes eye bags

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The presence of eye bags is a common problem that affects people regardless of age, gender, or ethnicity. Eye bags are typically caused by genetics, as often seen in younger people, or age-related where fat around the eyes prolapses forward. The initial response of many people is to try under eye creams that claim to get rid of eye bags.

Under eye creams cannot melt the fat that causes eye bags
Under eye creams cannot melt the fat that causes eye bags, while leaving the lower eyelid skin unharmed.

Eye bags can be seen at almost any age. I have treated three generations of the same family for eye bags. The youngest patient I treated was 14-years-old, and many people who come to me are in their 20s and 30s and have been aware of puffiness under the eyes since their teens.
Under eye puffiness that’s always present, and makes one look tired and older is caused by a condition called lower eyelid fat prolapse. This means the fat normally around your eyes has pushed forward, creating a bulge, which is why it’s called lower eyelid fat prolapse, and also called herniated fat.

Eye bags can appear in younger people
Eye bags are a genetic issue, and not necessarily associated with aging, so even young people can have them.

Lower eyelid prolapse differs from temporary causes of eye bags, such fluid associated with allergies, sinus problems, salt intake, and hormonal fluctuations. While these can all cause puffiness, they are usually intermittent. These temporary causes can also make the under eye puffiness due to fat appear worse.

Creams which claim to eliminate under eye bags, don’t work because they cannot physically reach the deep fat pockets and have any effect. The best way to fully correct eye bags is through surgery to sculpt and remove the displaced fat pockets.

Surgery is the only way to remove fat that causes eye bags
Only surgery can sculpt and remove the fat that causes eye bags.

While cosmetic eye creams can’t reduce eye bags, they can improve the quality, texture and color of skin under and around the eyes. I developed some skin care products which are designed for this purpose.

There are basically two strategies to help improve the appearance of under eye bags. If someone has slight fat prolapse pushing forward, and has a certain anatomy of the bone structure under the eyes where there is space in the tear trough, fillers such as a hyaluronic acid filler in the Restylane or Juvederm family can be used to blend the transition between the elevation of the fat pocket and the hollow of the tear trough.

Cosmetic fillers used to camouflage mild eye bags.
Soft cosmetic fillers can camouflage mild eye bags.

This approach to camouflaging lower eyelid fat with filler has been very useful in our practice to help patients with minimal fat prolapse and under eye puffiness.

If someone has more severe eye bags, the more definitive treatment is surgical, called a lower eyelid blepharoplasty. Most general plastic surgeons perform this procedure with an incision in the lower eyelids, right beneath the eyelashes, and sometimes remove lower eyelid skin attempting to improve wrinkles.

Transcutaneous blepharoplasty
Transcutaneous blepharoplasty is the more common eye bag surgery, but is also more prone to complications.

This approach is called transcutaneous blepharoplasty. I see a lot of patients who’ve had this procedure complaining of losing the shape of their eyes because the lower eyelid is pulled downward. I also see a number of patients who’ve had complications from this procedure like lower eyelid retraction and lower eyelid ectropion. These conditions result from skin shortage under the eyes and compromising of lower eyelid support.

My procedure of choice is transconjunctival blepharoplasty. I feel this approach is a minimally invasive procedure that allows me to address under eye fat pockets surgically from the inside of the eyelid.

Transconjunctival blepharoplasty method to remove eye bags
Transconjunctival blepharoplasty involves no external incisions to remove fat, is less prone to complications, and looks completely natural.

There is no external incision or effect on the supporting structures of the lower eyelid. I essentially reduce and reshape the fat to address the puffiness so you no longer have bags under your eyes while maintaining the natural shape of your eyes. The goal is to appear as if you never had bags under your eyes. This has been a highly successful procedure with faster recovery that allows my patients to return to work in about a week.

No visible incisions after Transconjunctival blepharoplasty
While still surgery, transconjunctival blepharoplasty is minimally invasive since it involves no visible incisions.

We routinely perform this procedure under local anaesthesia with LITE® IV sedation in our Joint Commission-certified facilities in both our offices. For many patients who come to us from all over the world for this procedure, they like that they don’t have to go to a hospital or surgery center, and can comfortably have the procedure done, and go home soon after surgery. Not using general anesthesia makes patients more comfortable, and makes their recovery much faster since they are not recuperating from the effects of general anesthesia.

patient look pretty good and return to work 1 week after surgery
Dr. Prasad’s transconjunctival blepharoplasty procedure done under local anesthesia allows patients to look pretty good just a week after surgery.

If eye bags are your concern, don’t waste money on creams. When you understand how the underlying lower eyelid where fat pockets which have prolapsed forward are responsible for these under eye bags, buying creams as a treatment doesn’t make sense. I recommend you meet with qualified and experienced cosmetic surgeons to learn about your options which are filler placement to camouflage, or surgery which is more definitive.

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    Vampire Facelift™ Video – Performed by Dr. Prasad

    New York’s Dr. Amiya Prasad explains and performs The Vampire Facelift™ on a patient. Dr. Amiya Prasad was trained by Dr. Charles Runels, inventor of the “Vampire Facelift™, and now offers his patients in New York and Long Island The Vampire Facelift™. Used to treat hollowing under eye area and cheeks losing volume with age as well as the area around the mouth, The Vampire Facelift™ is a great non-surgical solution without any downtime.

    The patient undergoes a Vampire Facelift™ performed using a combination of hyaluronic acid (such as Restylane or Juvederm) with platelet rich fibrin matrix (activated platelet rich plasma or PRP) using the Selphyl of RegenLab system in an artistic way to restore the lost volume in the face. Dr. Prasad’s Vampire Facelift™ patients enjoy natural results using their own blood that is then specially processed for use as a natural filler for the face, eyes, cheeks and mouth with immediate results and minimal bruising and swelling.

    Administered like an injectable filler, the benefit of the Vampire Facelift™ continues over time after the procedure as the growth factors in the blood stimulate the body to create collagen and new blood vessels which create a beautiful complexion to the skin and enhance the face.

    Dr. Prasad offers the Vampire Facelift™ procedure at his offices in Manhattan and Garden City, Long Island.

    To schedule a consultation with Dr. Prasad for the Vampire Facelift™, call 212-265-8877 or email

    Pelleve Skin Tightening: A new procedure, with LI roots, in the war on wrinkles (Newsday)

    There’s yet another weapon in the war on wrinkles.

    Called Pelleve, the process uses radio-wave technology to induce heat into the skin, stimulating collagen growth to tighten skin and reduce the appearance of wrinkles.

    The technology was developed by Ellman International, a medical company in Oceanside, N.Y., that got its start making equipment for dental surgery.

    Pelleve was granted FDA approval as a facial wrinkle reducer in May 2009, said Tom Harper, vice president of global marketing at Ellman. The equipment was initially used to stop bleeding during surgery, said Harper, adding that the treatment is now being used in well over 200 facilities in the country. “Patients seem to feel there’s a lot of value in the product, especially around the eyes and jawline,” he said.

    WHAT TO EXPECT The doctor or technician will apply a protective gel, then run the handpiece over the area being treated. Patients generally report feeling a sensation of warmth. “It goes to a point where it feels very hot,” said cosmetic surgeon Amiya Prasad, one of several Long Island doctors using the treatment. “Most people tolerate it very well,” he added. No numbing or anesthesia is required (or desired since they want you to speak up if it gets too hot).

    DOES IT WORK? “Pelleve has worked out to be a good service for our patients, for the person who is not quite ready for a face-lift,” Prasad said. Likewise, Greenvale dermatologist Deborah S. Sarnoff says patients have been happy with the procedure, which she often combines with Botox and fillers. “A Pelleve treatment is administered to improve overall skin laxity,” she said, “then I inject filler to areas that may need more volume and Botox to relax the dynamic wrinkles.”

    Sarnoff says that, unlike other treatments, “patients see an immediate improvement,” though many doctors suggest two or three sessions for the best results.

    HOW’S IT DIFFERENT? Pelleve differs from Thermage, another procedure that uses radio frequency, in that the handpiece can be moved back and forth over the skin, which doctors say allows them to more easily target problem areas.

    COST Harper says costs vary widely. In this area, treating the entire face runs $1,500 to $2,000 a session; treating a single area (like the eyes) can run $500 to $1,000.

    WHO SHOULD HAVE IT? Both Prasad and Sarnoff say the ideal Pelleve patient is someone with mild to moderate wrinkling or skin laxity, or someone who had a face-lift and wants to maintain the results.

    By Barbara Schuler; Newsday, Tuesday, October 19, 2010

    Pelleve Skin Tightening Amiya Prasad MD

    Look Beautiful Without Makeup!

    Looking beautiful without makeup?  What a concept!  Beauty has evolved, and looking natural and beautiful is not just a celebrity trend… it’s an ideal! Going bare-faced might make you a little uneasy, especially if applying makeup is much a part of your daily routine as, let’s say, brushing your teeth. Covering up those problem areas, such as dark circles, wrinkles, hollowing, scars and discolorations can be a thing of the past. And, let’s face it: makeup cannot camouflage everything!

    If you have specific conditions that affect your appearance, there are appropriate treatments that can correct and restore your natural beauty. In my practice, our goal is to reduce the dependency on makeup by addressing the most common reasons women apply makeup:

    1) Improve Skin Tone – Sun damage, brown spots and “broken blood vessels” are treated with IPL (Intense Pulsed Light) which is a no downtime 15 min- 30 min painless procedure.

    2) Diminish Fine Wrinkles – Non invasive skin tightening with Pelleve, a painless 45 minute in office procedure.

    3) Soften Deep Lines – Fillers such as Restylane, Radiesse and Dysport can take as little as 15 minutes and last up to 1 year

    4) Prevent Aging Effects – Healthy diet, exercise and protecting your skin from environmental toxins such as excess sun and smoking

    In my upcoming book, The Fine Art of Looking Younger (due May 2010), you will find plenty more information on advanced medical techniques and technology with a holistic approach to reaching your aesthetic goals.

    It’s time to put the makeup down, and start looking your best!


    To set up your consultation with Dr. Prasad, please call (212) 265-8877. Dr. Prasad is located in Upper East Side Manhattan, New York City, NY.

    Welcome to Dr. Amiya Prasad’s Blog!

    Welcome to the blog of Dr. Amiya Prasad, New York City cosmetic surgeon. Dr. Prasad likes to keep his patients informed and educated about cosmetic surgery and rejuvenation procedures. Subscribing to his blog is a great way to stay in the loop and to get the latest news on Amiya Prasad, M.D.

    Our office is a boutique practice especially designed for the discerning client who desires rejuvenation treatment with a natural appearance. We hope that this website will answer some questions for you about Dr Prasad’s practice. Please inquire with our patient coordinator in case you have more specific questions.