As we age, the tissues that support our eyelids start to weaken. When this tissue weakens, the fat that is normally confined to the area around the eye can move into the lower eyelids, causing the lids to appear ‘puffy’ or ‘swollen.’ The skin around the eyelid can loosen and start to sag. In addition, dark circles may form on the lower eyelids giving the impression that our eyes appear ‘tired.’

Several factors can cause these effects to worsen including:

  • Fluid retention
  • Lack of sleep
  • Allergies
  • Smoking

During your consultation, Dr. Munroe will assess the excess skin around your eyelids, the amount of fat causing any puffiness, and the position of your eyebrows. Dr. Munroe will then review the best treatment options with you.

Facial Wrinles and Lines


Depending on the cause of the bags under your eyes, eyelid surgery may be a treatment option. During a procedure known as blepharoplasty, excess fat is removed through an incision in the natural crease of your lower eyelid. The procedure is usually done in an outpatient setting.