I think Accutite would help some and filler would help in conjunction. I really like Accutite on lower eyelids like yours but the the malar transition zones that I think represent more your fat compartments of the cheek that I think filler and possibly a cheek lift when you're older. Best Wishes!!
Rather than jump to relatively expensive treatments with one of the supposedly "next big thing" bells and whistles devices, you might wish to explore the use of some tried and true filler treatments for the under eye tear troughs and malar bags seen in the photos provided. Appropriate use of a lifting filler, such as Restylane Lyft, at the apex of the cheeks would likely not only create a more heart-shaped face, but secondarily improve the infraorbital region. A filler, such as Teosyal Redensity II may then be used directly into the tear troughs to help to elevate and smooth them and mask the sacs. Make sure that you consult with a board certified aesthetic physician and not just any venue hawking the latest machine it just purchased. Be certain to ask to see your physician's personal before and after photos of infraorbital fillers. Best of luck.
