I’d like to know what’s the best treatment for my eye bags and dark circles?

There are generally three methods to reduce undereye bags.
1. Utilizing peels, lasers or any other ablative or semi ablative techniques to stimulate new collagen growth. Though effective, most people want to have little to no downtime and in order to get a very effective result with which most patients would be extremely satisfied, these techniques will fall short of their stated goals. These techniques are wonderful if they are utilized in an appropriate strength. 
2. Carefully injecting a temporary filler (such as Belotero® or Restylane®) underneath the skin in hollow areas with magnification. This could be quite effective but does involve the risk of producing irregularities and lumps and will necessitate a certain amount of bruising. A permanent filler such as Bellafill ® or even a fat transfer utilizing purified fat from your body are also options.
 3. Performing a simple surgery under local anesthesia called a pinch blepharoplasty. In this operation, a small strip of skin is removed directly underneath the lower eyelash line and results in a nearly invisible scar. The recovery is very rapid (a couple of days) and involves one single stitch which is removed in five days. This approach is actually the least complicated in appropriate hands and will produce the most consistent and significant of results in reducing lower eyelid bags.

Thank you for your question. You are asking what is the best treatment for your eye bags and dark circles.
I can certainly help guide you, even without a submitted photo for reference, and without the benefit of a physical exam. As an oculoplastic surgeon practicing in Manhattan and Long Island for over 20 years, I perform lower eyelid surgery to reduce eye bags every day in my practice, as well as non-surgical treatments to improve lower eyelid skin quality and texture.
Eye bags and dark circles under the eyes are actually treated as separate issues. Eye bags that are present all the time are caused by fat normally around the eyeball for cushioning that have pushed forward, creating these bulges. The definitive way to treat this is through a lower blepharoplasty to sculpt and remove the fat causing the puffiness. My preferred technique is transconjunctival blepharoplasty, where fat is sculpted and removed from behind the lower eyelid, without making an external incision. This avoids complications from the more common transcutaneous blepharoplasty, where the external incision below the eyelashes can compromise lower eyelid support structures, and cause the lower eyelids to pull down, otherwise known as lower eyelid retraction. Without an external incision, this method also looks completely natural, even from up close, like you’ve never had surgery, or ever had eye bags.
To treat dark circles, I often use platelet-rich plasma, or PRP, or sometimes a thermal treatment. PRP is the concentration of wound healing and growth factors present in your own blood. Your blood is drawn, then spun to separate the platelets from the dark components of the blood. This clear, yellowish serum is then injected into the lower eyelids to generate collagen, thicken thin eyelid skin, and increase blood supply and circulation to help remove iron deposits that may be causing the darkness. PRP can also help improve the pigment that is a common cause of dark circles. I may also consider a laser treatment to resurface the lower eyelid skin, as well as also trigger a collagen response.
It’s best to meet with a cosmetic surgeon who is very experienced with the eye area. The transconjunctival blepharoplasty method is a specialized technique not usually done by general plastic or cosmetic surgeons. Not all doctors are using PRP for the lower eyelids, but I have found it to be a very effective treatment in improving dark circles. Laser treatments are also effective in improving darkness under the eyes, so it’s important to ask your doctor about these specific treatments. I hope you found this information helpful. Thank you for your question.

You are an ideal candidate for a Lower Lid Transcongunctival Blepharoplasty.  This technique is done with a small incision on the inside of the eyelid. There are no cuts on the outside and no stitches need on the inside. There is minimal swelling or bruising and no discomfort. I would not recommend lasers, RF, or fillers for you at this time.