
Eye bags are one of the most universally recognised signs of tiredness, and one of the most common reasons patients ask Dr Sateei about non-surgical treatment.

Eye bags are one of the most universally recognised signs of tiredness. Dr Sateei takes time to understand your under-eye structure to determine whether a non-surgical approach is likely to help.
Under-eye fat pads are normally held in place by supporting tissue that weakens with age, allowing the pads to bulge forward, known as fat pad herniation. Genetics, fluid retention, sun damage and lack of sleep can all contribute.

Soft puffiness or bulge beneath the eye, often worse in the morning. A shadow or groove frequently forms between the bag and cheek, and skin may look thinner or crepey.
Polynucleotides support the skin’s natural repair, improving firmness and softening puffiness and dark circles. Skin boosters improve hydration and elasticity. Where the tear trough groove is significant, carefully placed filler can soften the transition. For more established bulging, non-surgical treatment tends to offer a more modest improvement, and Dr Sateei will always give you a realistic picture of what to expect for your particular presentation.

Over two decades of experience and a subtle, natural-looking ethos are essential in this delicate area. Every plan is tailored to your specific cause, with ethical prescribing central to her London (near Harley Street) and Sevenoaks practice.

Weakened support allowing fat pads to bulge, plus genetics, fluid retention, sun damage and sleep.
Sleep, hydration and sun protection help minimise temporary puffiness.
Depends on the cause; polynucleotides/skin boosters for quality but filler is recommended for the tear trough groove.
Filler doesn’t remove the fat pad but can blend the shadow it creates.
Mild discomfort so topical numbing cream is available.
Some mild swelling/bruising possible, usually minor.
Gradual for polynucleotides and boosters but sooner for filler.
Assessed individually via consultation.
It can meaningfully improve appearance for many patients, though results vary depending on how established the bulging is.
Not always, though they frequently occur together.
Recommended treatments to combat under-eye bags



If puffy under-eyes have been on your mind, Dr Ellie Sateei welcomes a consultation at her London or Sevenoaks clinic.
Our London clinic is located at 91a New Cavendish Street, London, W1W 6XF
We serve patients from London, Kent and the home counties as well as from all over the world. Our London clinic sits in the heart of Marylebone, within easy reach of the West End by tube, while our Sevenoaks clinic in Ightham is moments from the M25 and M26 for patients across Kent.