Hi. I'm online and happy to answer your question today.
It sounds like you have orbital fat prolapse. This is a benign condition.
The most common cause of dark circles under the eyes is breakdown of the orbital septum which allows the normal orbital fat tissue that surrounds and cushions your eyeball to "pooch" forward.
As you know, there are tons of creams and lotions for the ladies to use for this issue. Why are there so many different ones? Because none of them work :-)
With age the thin, tough membrane (orbital septum) that keeps the normal fat pad in place behind your eye becomes weak and tears. When this happens you start to notice the swelling, or bags, under your eyes. It is nothing to worry about.
The only way to treat this problem is with surgery, called a blepharoplasty
. Many times it can be done in a procedure room in the ophthalmologist
Here is a good webpage that discusses this surgery:
Laser treatment will not reduce these undereye dark circles.
Blepharoplasty costs vary around the country and range from $1,800 to $3,500. That being said, if functional issues can be documented, insurance (private, medicare, medicaid etc) will cover the majority of these costs.
Is there anything else you would like to discuss at this point or have all your questions been answered to your satisfaction?
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Thanks in advance,
Dr. Rick MD FACS