What's better for my puffy under eyes & eye bags, laser lipo or lower blepharoplasty? (Photos)

Thank you for your question and photo submitted. Based off your information provided, you seem to be a great candidate for a lower blepharoplasty. This will help remove the excess skin, as well as, fat pad causing the puffiness. An in-person consultation will be the deciding factor on whether fat disposition or fat transfer may also be needed. This will give the undereye an overall rejuvenation. The next step to take would be finding a qualified and experienced Board Certified plastic surgeon to do a full evaluation and provide you with a designated treatment plan to reach your desired goals.

A lower lid transconjunctival blepharoplasty would remove this fat and give you a nice lower lid/cheek contour. There is no role for liposuction in this area.

From your photos it appears you would most benefit of a lower blepharoplasty. This surgical intervention will remove excess skin and resposition fat to give a smoother, younger under eye appearance. The net step is to visit with a board certified plastic surgeon near you for an evaluation.