Do you have any suggestions for eye bags before I make an appointment for treatment/surgery? (Photos)

this needs surgery and lasers (see my link to recent IG post of exact treatment).

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 

There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

I would suggest a lower eyelid blepharoplasty with fat transposition of the lower eyelid fat. This will eliminate tor significantly reduce the nasojugal groove, which is the depressed area below the lower lids. At the same time I would also suggest conservative skin excision of the lower lids. This should give you a very refreshed appearance. Good luck!

Fat transposition would work well for you in youth. Later fat removal may be necessary given your family history, the result will be enhanced with laser skin resurfacing. Good luck! Stay safe.

Thank you very much for your answer, in your case I recommend carrying out a treatment in combination of techniques and technologies that allow us to object to a rejuvenation of the look, in this case it would be botox to control the lines of expression of the eye contour and associate it with a filling treatment with Hyaluronic acid in case of depth or pocket correction, however this has a duration, what is suggested is to perform a blepharoplasty to remove the bags of the lower eyelid.Blepharoplasty is a surgical procedure that aims to improve the aged appearance of the eyelids by removing fat bags and excess skin from them. It can be done in isolation or in combination with some other facial cosmetic surgery.In the consultation, the specialist assesses the individual characteristics of your eyelids, as well as their general condition.
You are also informed about the usual preoperative rules about taking or suppressing medicines, tobacco, taking liquids and food.
DuringBlepharoplasty is performed in the operating room, under general anesthesia, and usually lasts 1 to 3 hours.
AfterThe eyelids will be swollen and bruises will appear that will resolve in a few days.
You may notice alterations in your visual acuity, tearing, hypersensitivity to light during the first 2 or 3 weeks, you should wear sunglasses while the bruises persist.
It is important to keep relative rest 2 or 3 days and avoid efforts for 1 month. You will be able to return to work in about 1 week or 10 days

Thank you for your question.

You can get same fillers for under your eyes also speak to your local doctor one on one for best recommendation.

Based on these photos you seem to be good candidate for transconjuctival lower blepharoplasty. This procedure is done in local or twilight anesthesia and recovery is short. good luck.

The best long term treatment is lower blepharoplasty using transconjunctival technique with eye fat repositioning (not removal) with possible skin pinch. See an expert.

You have a fair amount of fat in the lower lids. This creates a shadow just below the fat, with a hollowing in the tear trough. From these pictures a surgery with fat repositioning would be my recommendation. If you don't want surgery, you could try some HA filler into the tear trough. IT will help to hide some of the fat and make the area appear smoother.

You have prominent an eye bags. You should definitely have eye bag surgery (with fat transposition). In your case, fillings can worsen your condition.

Thank you for your question. You could always start with fillers to try and blend the cheek and under eye area together to see if that gives you enough improvement that you are looking for. I don't think it would hurt to have a consultation for surgery. You should review all your options first before deciding. Hope this helps!