Puffy, swollen and often discoloured, under eye bags are caused by fluid or fat accumulating below the eyes. While fat accumulation is a natural part of ageing, fluid build up can be a response triggered by many causes. Lack of sleep is a common cause for puffy eyes, while dehydration can create sagging in the delicate under-eye area. Seasonal allergies also cause fluid accumulation in the under-eye area, as does a diet high in sodium. By identifying the cause of your under eye bags, you may be able to prevent them better and aid in their treatment.
In a previous Health interview, dermatologist Jessica Krant MD, recommended this product for those looking to start using a retinol product, explaining that "the ingredients are of good quality and I have never had anyone complain about any skin reaction or difficulty managing this retinol." It packs hyaluronic acid to boost moisture while also erasing fine lines.
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"This is the first time I have purchased a cosmetic product solely based on previous reviews. I have sensitive skin so have never tried a retinoid product before. I have nice enough skin but I’m 45 and have a few sun spots. I have been amazed at the change in my complexion. After a week of use 2x/day it looked brighter, more even in tone, almost younger. I have had no dryness, and have even started using it around my eyes with no dryness. Great product!" —Colby
I have never had such an issue so early on with like… any company. Not like this. Toward the end of my emails I just told them to please cancel my subscription I don’t care about January. God knows what’s going to happen now. I kind of would like the Jan. box because I want to try Sunday Riley, but the amount of issues going on over there I’m thinking it’s best to just end things now.
What can you do? There’s not a lot you can do for bags, though fillers may help raise the skin to counteract sagginess. Essentially, these fillers elevate the surrounding skin to the level of the fat to make the texture smooth and uniform again. Radiofrequency treatment is another alternative to tighten and smooth the area. The procedure heats the skin to induce collagen and elastin formation. Dr. Engelman recommends four rounds per treatment, and once a year maintenance. Each session costs around $500 to $600.
There are different kinds of retinoids, and they vary in strength. As cosmetic chemist Kevin Gallagher explained, this strength comes with a trade-off: the stronger the retinoid, the faster it works — and the harsher it is on skin. The strongest retinoids are only available with a prescription. But that’s not to say over-the-counter formulations are ineffective. A three-month, double-blind, randomized study of 34 women showed there was no significant difference in efficacy between an over-the-counter 1.1 percent retinol cream and 0.025 percent prescription tretinoin. In short: Retinoids work.
Hyaluronic acid filler injections can plump up the sunken under-eye area. Fillers are priced per syringe, typically between $1,000 and $1,400, and the results can last for a year and a half or up to five years. There are also laser procedures to destroy the superficial blood vessels that are showing through the skin, though experts say tread with caution as the wrong laser can cause hyperpigmentation (or even hypopigmentation, when the area lightens too much). Treatments range between $300 and $500, and may require two or three sessions to see results, plus annual maintenance.