I am 51 and I have under eye bags I want to get rid of but I don't want to trade one bad look for another or have to get fillers in my tear trough area after the fat is removed. Right now I have medium size puffiness and no tear trough problems like others I see online. I just want the puffiness gone and not have to worry about getting other procedures. When I asked the surgeon at my consult today he seemed in a bit of a hurry and brushed off my concern. Anyone get puffiness removed without needing fillers afterward?