What kind of surgery or treatment should I do for my upper cheek/under eye bags? (Photo)

For malar mounds, such as appear in the photo provided, it is not surprising that the direct under-eye filler did not work. There appears to be volume deficit in the cheek, as evidenced by the flattening (rather than a more outward projection) of the cheek. An in-person examination allowing for direct manipulation and palpation of the cheek would be especially helpful in this case. Generally speaking, however, addressing this volume deficit typically will secondarily improve the cheek contour and create a smoother transition between the upper cheek and the lower lid region, thereby diminishing the malar bulge and improving the entire appearance of the upper cheek You would be wise to consult with an experienced, board certified cosmetic dermatologist. Hope this helps and best of luck.

You have congenital festoons. This puffiness between your lower eyelid and cheeks is caused fat absorbing extra fluid causing swelling. This area called lid cheek junction is a very tight space that house the lymphatic drainage of the lower eyelid. Surgery is the only treatment in this case. Fillers, Botox, laser, sclerosing agents make it worse as it further damage the lymphatic system and not addressing the underlying issues.