Under Eye Bags
Under eye bags, medically referred to as infraorbital puffiness, occur when fat pads beneath the eyes become more prominent, often combined with fluid retention, skin laxity, or shadowing. They can make even the most rested person look tired. While often a normal part of facial ageing, they can also reflect lifestyle factors, genetics, or circulatory changes. At Haus of Ästhetik, we approach this concern holistically, correcting structural causes, improving skin tone, and restoring brightness without erasing your natural character.
Overview
Under eye bags, medically referred to as infraorbital puffiness, occur when fat pads beneath the eyes become more prominent, often combined with fluid retention, skin laxity, or shadowing. They can make even the most rested person look tired. While often a normal part of facial ageing, they can also reflect lifestyle factors, genetics, or circulatory changes. At Haus of Ästhetik, we approach this concern holistically, correcting structural causes, improving skin tone, and restoring brightness without erasing your natural character.
Under eye bags can affect both men and women at any age, though they become more common after the mid-thirties. People with fair or thin skin notice them earlier, as do those with strong facial expressiveness or genetic predisposition. They are also more noticeable after fatigue, illness, or excess alcohol.
Visible puffiness or bulging beneath the lower eyelids, often with darker pigmentation or hollowing nearby. Skin may appear loose or wrinkled, sometimes accompanied by morning swelling that improves throughout the day. In advanced cases, the fat pad protrusion becomes constant and is accompanied by shadowing or volume loss at the tear trough.
There is no specific NICE guideline for the cosmetic treatment of under-eye bags, so we practise under general NICE principles of shared decision-making, thorough assessment and strong safety governance. The BNF guides any prescription element, for example safe prescribing and the reversal medicine held for hyaluronic-acid dermal fillers, rather than cosmetic technique. We are honest where the evidence base is limited.
Under-Eye Bags is typically supported with CE/UKCA-marked hyaluronic-acid dermal fillers (medical devices) and regenerative skin treatments, chosen to restore balance and support skin quality. Your plan may include:
Hyaluronic-acid dermal fillers, which are reversible; we hold the appropriate reversal medicine and emergency protocols for the rare event of a complication.
Skin boosters, polynucleotides or regenerative treatments to improve skin quality.
Professional skincare, resurfacing and LED to support the result.
Prescription options only where clinically relevant, considered after an in-person medical assessment.
Treatment is tailored to your anatomy, with the aim of natural balance rather than overfilling.
Suitability is determined following a detailed consultation and medical assessment. We rule out thyroid, renal, and allergy-related causes before aesthetic intervention. Tear trough filler is contraindicated in cases of large herniated fat pads (where surgery may be more appropriate), pregnancy, lactation, or active skin infections. All injectable procedures are undertaken by a qualified Level 7 practitioner under CQC-aligned governance and prescription protocols.
Results depend on the option chosen and on individual factors, so we set expectations openly at your consultation. In general the aim is a natural improvement in under-eye bags rather than a dramatic change. Some treatments work gradually over several weeks as skin quality improves; others give a more immediate effect that then settles. Results are not permanent, vary from person to person, and are maintained on a personalised review schedule. We will not overtreat, and we welcome an honest conversation about what is realistic for you.
Avoid strenuous exercise, alcohol, and heat exposure for 24–48 hours post-injection.
Sleep slightly elevated to reduce post-treatment swelling.
Apply a gentle, cooling eye gel such as Teoxane R[II] Eyes or mesoestetic Anti-Stress Mask.
Maintain hydration, avoid rubbing the area, and protect against UV with mineral SPF.
Attend scheduled reviews to monitor results and top-ups at appropriate intervals.
The first step is always a face-to-face consultation at Haus of Asthetik. We assess your under-eye area, take a full medical history and discuss realistic, evidence-based options for under-eye bags. Any prescription element is provided only where clinically appropriate, following an in-person medical assessment and prescriber sign-off; we do not prescribe remotely. Treatments are for adults aged 18 and over only.
All care is delivered under CQC Regulation 12 (Safe Care and Treatment), with informed consent, product traceability and written aftercare, and our governance is kept in step with the forthcoming national licensing scheme for non-surgical cosmetic procedures. Individual results vary and are discussed honestly with you. If you ever feel distressed about your appearance, we are glad to talk it through and, where helpful, signpost further support.