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The appearance of eye bags under the eyes as we age is very common and is due to a combination of loose skin with less elasticity as we age, the effects of gravity and a shift in the underlying fatty tissue allowing it to herniate through weakened membranes and gather in a pocket. Resolution of eye bags, especially larger ones, usually requires a surgical approach to achieve a good result.
Upper and lower eyelid surgery or Blepharoplasties can help restore a more youthful appearance by tightening droopy or hooded eyelids and removing or moving fatty pouches beneath the eyes.