Help! My eye bags make me look tired all the time

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QI’VE developed huge eye bags on my upper cheeks and look tired all the time. A plastic surgeon has advised surgery will only partly help — what can I do?

AFestoons are droopy eye bags resulting from slackening skin, combined with the fat in the area migrating downwards and protruding and/or fluid buildup leading to puffiness.

oculoplastic surgeon sabrina shah-Desai says that if they are not due to allergies or underlying renal or thyroid disease ( blood tests are required), corrective surgery (blepharoplasty, which costs anything from £ 3,000) can improve or fully remove them.

Alternatively, ‘ treatments that tighten skin, such as IntRAcel [micro-needling plus radiofrequency heat — which is not painless!] can help’, says Dr sarah tonks of the Lovely Clinic, who charges £1,500 for three eye-area treatments.

If you do have an underlying issue, you should in the first instance treat with medication, oral steroids or antihistamines, so make sure that you get assessed medically.

And, Dr tonks warns, using haemorrhoid cream to reduce the swelling (a popular Internet ‘hack’) is dehydrating, irritating, and a short-term fix only.

Ingeborg van LotrIngen is beauty director at Cosmopolitan. email questions to ingevan lotringen@dailymail.co.uk.