If you're dealing with under eye bags or dark circles in Miami, you know how frustrating it can be. That tired or puffy look doesn't always go away, even after a full night of sleep. These are some of the most common concerns we hear at Zuri Plastic Surgery, and the good news is: there are real, effective ways to treat them. Whether you're noticing more puffiness as you age or you've always struggled with darker skin tones under your eyes, we'll help you find the right solution.
Dark circles and puffy eyes can come from lots of things—stress, aging, fluid retention, allergies, or even your bone structure. At our Miami practice, we take a personalized approach to treating the under eye area. The goal is simple: help you look as awake and refreshed as you feel inside.
*Individual results will vary
There's no single cause of under eye bags or dark circles. For some people, it's extra fat or skin that creates puffiness. For others, it's a hollow or sunken look from volume loss. And often, it's a combination of both. These changes can come with age, genetics, or lifestyle factors, and they affect everyone a little differently.
At Zuri Plastic Surgery, we use two highly effective procedures to treat under eye concerns: lower eyelid surgery and facial fat transfer. These options are ideal for patients who want noticeable, long-term results. Whether you're looking to remove excess fat or restore volume for a smoother, more refreshed appearance, Dr. Z will create a customized plan that works with your unique features and goals.
Lower blepharoplasty is a type of eyelid surgery that's great for removing under eye bags caused by excess fat or sagging skin. It works by making a small incision under the lash line or inside the eyelid to remove or reposition the fat that's creating puffiness. It can also tighten the lower eyelid, giving you a smoother, more youthful look. This is often the best option if your under eye bags are always present, no matter how much sleep you get or what home remedies you try. Recovery usually takes about 10 to 14 days, and the results can last for years. It's a popular choice for patients who want a long-term solution with noticeable improvement.
If your main concern is volume loss or hollowing under the eyes, facial fat transfer may be a great option. This procedure involves taking a small amount of fat from another area of your body (like the thighs or abdomen) and injecting it into the under eye area. This helps to soften shadows and restore youthful fullness. Fat transfer is a natural alternative to fillers, using your body's own tissue to improve the appearance of under eye bags and dark circles. It's especially helpful if your skin has thinned with age or if you've lost volume over time. While some of the fat may be reabsorbed, results often last for years with minimal maintenance.
Getting treatment for under eye bags and dark circles isn't just about looks—it can help you feel more confident, more energetic, and more like yourself. When your eyes look fresh and bright, your whole face feels more alive. Here are some of the most common benefits people see:
You're probably a good candidate if you're dealing with puffiness, under eye bags and dark circles, or a tired look that sticks around no matter what. These issues might come from genetics, lifestyle factors, or just the aging process, but either way, they're treatable. You should be in generally good health and have realistic expectations about your results. Certain allergies, skin conditions, or medications might affect what treatments are right for you, but we'll go over all of that during your consultation. Age alone doesn't disqualify you—what matters most is what's going on under the skin.
Your consultation is all about figuring out what's going on and building a plan that actually works. Dr. Zuriarrain will examine your under eye area and ask about your concerns, your health, and what kind of results you're hoping for. He'll explain the pros and cons of each treatment option, so you feel confident moving forward. Before your treatment, we may recommend avoiding certain medications, drinking more water, using extra pillows at night, and getting enough sleep. These small steps can make a big difference and help your results last longer.
Both lower eyelid surgery and facial fat transfer are performed with your comfort and safety as the top priorities. The approach depends on what's causing the tired or puffy look under your eyes.
This is a surgical procedure that removes or repositions fat under the lower eyelids. It can also tighten loose skin, helping smooth the under eye area and reduce the look of bags or puffiness. The incision is usually hidden along the lash line or inside the eyelid for minimal visibility. It's performed under local or general anesthesia and usually takes about 1–2 hours.
This technique involves gently removing fat from another area of your body, like your abdomen or thighs, then purifying it and injecting it into the under eye area. It helps restore lost volume and soften the shadows that can make eyes look hollow or dark. Fat transfer is a natural solution that blends in beautifully with your existing features.
Recovery depends on the treatment. Surgery usually comes with about 1 to 2 weeks of downtime, including swelling and bruising. Aftercare is simple, and we'll guide you every step of the way. Some things we recommend include:
Dr. Alexander Zuriarrain (Dr. Z) is a quadruple board-certified plastic surgeon who has performed over 8,000 procedures. He's known for his detailed, artistic approach and his ability to make patients feel seen, heard, and confident in their care.
Zuri Plastic Surgery is more than just a clinic—it's a luxury, concierge-style practice where your experience is personalized from start to finish. Our Miami location serves patients from around the world, and we're proud to offer high-end aesthetic care in a setting that feels welcoming and calm.
If you're ready to feel more confident in how your eyes look, we're here to help. Call us at 786.804.1603 today to book your consultation with Dr. Z and get started on a treatment plan that's right for you.
It starts with a consultation. Dr. Z will take a close look and help you choose the option that fits your skin, your goals, and your lifestyle.
All treatments come with some risks, like bruising, swelling, or mild asymmetry. Dr. Z will talk through everything during your visit so you know exactly what to expect.
Both lower eyelid surgery and facial fat transfer involve some downtime, around 2-3 weeks, but most people find the recovery manageable and well worth the results.
It depends on the treatment. We'll give you a personalized quote after your consultation based on what's best for your skin and goals.
Get a one on one consultation with Dr. Z in his beautiful practice in Miami, FL
7540 SW 61 Ave, South Miami, FL 33143