My under eye bags are heavy and make me feel tired all the time on top of being ugly to look at. What are my options? (Photo)

Based on your photos I think your best option is surgery.  With a lower blepharoplasty excess skin and fat is removed.  Remaining fat is redraped revealing a smoother under eye.  You can try non surgical options such as the ALMI treatment which uses your own tissue to improve volume, tone and texture.  Fillers are also an option, though temporary.  I recommend beginning with a consultation to determine what is best for you.

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression.
I hope this helps!

The ideal treatment to address both under eye fat bags and tear trough hollowness is transconjunctival lower blepharoplasty with fat bags repositioning to fill the hollow area. See following surgical video and website link. See an oculoplastic surgeon.