Should I seek treatment for my under eye bags?

The goal of fat transposition and fat grafting during lower lid blepharoplasty is to avoid a hollow look after surgery. Both are good techniques and the risk is very low in experienced hands. You really need an in person consultation to decided which technique is best for you.
Best to see an eyelid specialist.

To make any determination about being a candidate for lower eyelid surgery requires posting of photographs of your eyelids from all angles. In our practice, the fat bags are removed through a trans conjunctival approach on the inside of the lower lid.

Without including pictures, we can’t begin to make an assessment.
There’s really no point in talking about treatment options if we don’t have complete information.
No one has to have cosmetic surgery.
Best,
Mats Hagstrom, MD