The only truly effective, long-lasting way to remove eyelid "bags" is surgery. Your Board Certified Plastic Surgeon will help you decide on the BEST approach to achieving your goals (skin removal along with fat excision or repositioning, scar placement inside or outside lid, etc.). Every patient is an individual and has individual needs and goals, but I prefer, if you only have bags and no excess skin, to perform a transconjuntival preseptal fat repositioning with arcus marginalis release...basically the bags are fixed, no fat is removed and the scar is inside the eyelid and not visible on the outside. Works great for me...
I hope this helps!
Good Luck!
Dr. C



