I'm a 46yo professional man. I am in decent shape, and I still look pretty young, but I had developed really bad bags under my eyes. In my case it was hereditary. My father had them. I was frequently told by friends and coworkers that "You look tired." I hated hearing that. I wasn't tired. But I looked like it.
After reading about the different kinds of surgery options for under-eye bags, I bit the bullet and saw a plastic surgeon in Northfield, Illinois (Chicago suburb) who specializes in eyelid surgery done from inside the lower eyelid area, leaving absolutely no scars on the outside and removing no skin (unless there's way too much extra). I had never had any form of surgery and this was not dramatic or painful. I had very little bruising under my eyes afterward, just some minor swelling.
I took four days off work to recover and to let the swelling go down, but I felt fine during that time, no problems driving or anything, and it was not unsightly. I went to a party on the fourth day. No pain. Even though the bags are completely gone, I don't look completely different - just a lot better. I don't look like i've had "work done" or anything like that. I just don't look tired. I WISH I HAD DONE THIS TWO YEARS SOONER. It made a big difference to me in the way I feel about my appearance. I was so self conscious about my eyes. Now I don't think about them at all and nobody says I look tired. In all, it costs about $5k and it was well well worth it to me. I am very glad I did this.