Puffiness under the eyes usually does not affect vision, but it can make the face appear tired. This condition sometimes subsides after waking up, but it can also persist due to changes in periorbital tissue structure, age, allergies, or certain health problems.
Eye bags can form when fluid accumulates in the tissues around the eyes, making the skin under the lower eyelids appear swollen and puffy. This condition is often more pronounced in the morning after waking up, after a high-salt meal, or when the body lacks sleep. A high-salt diet can increase water retention, while lying down during sleep can lead to fluid accumulation around the eyes. Allergies can also cause swelling, itching, and irritation in the eyelid area. These factors often cause eye bags to fluctuate depending on the time of day or the level of exposure to allergens.
According to Healthline, some measures such as cool compresses, getting enough sleep, limiting overly salty foods, and elevating the head slightly when sleeping can help reduce eye bags caused by fluid retention. However, the degree of improvement depends on the underlying cause. These measures cannot completely eliminate eye bags resulting from changes in periorbital tissue structure.
![]() |
Eye bags can be caused by fluid retention, aging, and genetics. AI illustration |
Over time, the skin and supporting tissues of the eyelids gradually weaken. Fat, originally located around the eyeball, can shift towards the lower eyelid, forming a more noticeable puffy area. Loose skin and loss of elasticity also make eye bags more apparent. Genetic factors can lead to some individuals having eye bags from a young age or developing them earlier than others. Smoking and habits that affect skin health can also contribute to more pronounced signs of aging.
Unlike temporary swelling due to fluid, eye bags associated with fat tissue or sagging skin are often long-lasting. Cold compresses or changing sleeping positions can help reduce under-eye swelling in some cases, but it is difficult to completely eliminate the structural puffiness.
Not all cases of swelling around the eyes stem from sleep deprivation or a high-salt diet. Allergies, dermatitis, and certain systemic medical conditions can also cause edema in this area. The characteristics of the swelling, its onset time, and accompanying symptoms help doctors determine the underlying cause.
Long-standing eye bags that are relatively symmetrical and change little are often different from new swelling that increases rapidly or occurs only on one side. According to Mayo Clinic, individuals with under-eye swelling accompanied by vision changes, irritation, headache, or rash should be evaluated by a medical professional to rule out causes such as allergies, infection, thyroid disease, or connective tissue disease. If eye swelling appears suddenly, especially on one side, accompanied by severe pain, significant redness, bulging eyes, or changes in vision, the patient requires urgent medical evaluation. Prolonged self-treatment should be avoided until the cause is identified.
Individuals who often wake up with swollen under-eye areas can try applying a cool compress with a clean cloth for a few minutes. The cool temperature helps temporarily constrict blood vessels, aiding in swelling reduction. Do not place ice directly on the skin or apply strong pressure when compressing, as the skin around the eyes is thin and sensitive. If eye bags are related to a high-salt diet or excessive alcohol consumption, reducing these factors can also help improve the condition.
Bao Bao (Compiled)
| Readers can submit questions about ophthalmological diseases here for doctors to answer |
