Prominent Malar Bags - How Do I Remove Them?

The bags under your eyes appear to be fluid retention which usually cannot be treated surgically.  You also appear to have a "tear trough" depression in the lower eye area which can also contribute to making you look older and tired.  This depression is usually caused by a loss of fat in the area that joins the cheek and lower eyelid.  It is more commonly seen in older patients.  You could consider the injection of a temporary filler such as Juvederm or Restylane to plump the area.  This would fill in the tear trough and possibly make the bags less noticeable and make you look less tired.

Bags under the eyes are typically caused by fluid retention which can be caused by genetics, allergies or another medical condition.  If they are caused by allergies or a medical condition then you will want to seek the appropriate medication or treatment best suited for your condition.