The problems with eye bags usually start small. You may notice a barely visible "pillow" of puffiness just below the lower lid. If you leave it untreated, it can billow out further. Then, over time, it gives way to a full-blown bag.
But how and why does the puffiness start? One cause, experts say, is the natural aging process. "There is a certain amount of fat naturally in the under-eye area," Antell says. "It's held in place by ligaments. As you age, the ligaments get weaker, allowing the fat to push forward, forming that little puffy pillow under your eye."
As time goes on, the puff gets bigger, he says. Then skin loses elasticity, allowing the formation of those loose wads of skin we call "bags." How soon that happens, however, depends a lot on how many bags Mom and Dad had -- and when their problems began.
"A lot of it has to do with heredity," Marmur said. "It can be a structural, anatomic, genetic issue that simply causes some people to develop this problem sooner than others."
But it's not just heredity. Lifestyle factors matter too. Do you consistently cheat yourself of sleep? Do you eat a lot of salty food snacks and retain a lot of water? Are you getting enough exercise? Marmur tells WebMD all these things can cause bags to form a lot sooner.
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