I am in my early 20s and have asymmetrical bags under my eyes. What is the best way to go about fixing them? (photos)

The best long-term treatment for under eye bags is transconjunctival lower blepharoplasty with fat/bags redistribution (where the fat is partially removed and partially moved to fill the relative hollow area below it, in order to avoid sunken look). See following video (graphic) and website link below. Another option is filler injection.

There are generally three methods to reduce lower eyelid bags and wrinkles.
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 your lower eyelid bags and wrinkles.

You have a few options. Fillers, lasers, and microneedling/PRP can improve under eye bags and circles. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. Botox can be used to help with asymmetrical eyebrows. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer.

Everyone has some asymmetry although yours is a bit more obvious than for many people.  You should try some HA filler to the lower lids.  When placed correctly it should help to smooth out the lower lids, and make them look more symmetric. 

your bags are super minimal and mostly covered with make up.... extremely minor. 

I always make sure my patients don't have a medical reason to have under eye bags and purple discoloration - allergies, sinus problems, skin problems. 

The tiniest bit of filler could be used, microneedling with PRP could also be a good choice. 

I would probably lean to the conservative side for you because they are so minimal.

Hope this helps and God Bless!

Dr. Robb

Your eye bags are caused from bulging lower eyelid fat pads.  This is due to genetics, and not aging in your case.  This can be treated with a lower eyelid blepharoplasty.  Under local anesthesia, a small incision is created from the inside of the lower eyelid, and the bulging fat is either removed or repositioned.  This is the permanent solution.Temporary treatment is dermal fillers such as Restylane or Juvederm to the area to camouflage the bulges.  This would generally require retreatment about once every 6 months.  Good luck! 

You may want to consider a combination of treatments to get the best results.  Fillers can be used to add volume to hollow areas, revealing a smoother look.  Peels, lasers, and microneedling (Skin Pen) can be used to improve the quality and texture of the skin.  You may want to try these options before surgery, depending how aggressive you want to be.

Thank you for the photos. Both filler and surgery can be used for your particular situation.  The quickest and simplest solution would be to have hyaluronic acid fillers such as Restylane to your lower eyelid area to smooth and lighten the shadows from hollowing in the area. If too much filler is injected, it can be quickly dissolved with hyaluronidase. There is minimal downtime but it will last for less than a year before you need more filler injected. For permanent results, you can have the excess bulging fat removed through small incisions behind the eyelid and have the fat repositioned as well so that the transition between your eyelid and the cheek is as smooth as possible. There is also a greater amount of downtime with surgery and fat repositioning/grafting - you can expect to be bruised and swollen for a few weeks but it is more of a permanent fix. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
Johnson C. Lee MD Plastic Surgery