Botox or filler for eye bags when I smile? (Photo)

Dear sam07,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. I recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon who can perform a thorough examination and discuss with you the best treatment options to meet your aesthetic goals. Botox or other neurotoxin is a great treatment modality for taking away or minimizing wrinkle lines due to dynamic muscle movement and can thus with a small dose treatment help improve fine wrinkles under the eyes and/or help open the eyes. It will not directly address improving the appearance of bags under the eyes. Depending on the nature of your issues, you may benefit from filler treatment or possibly surgery. 

Based upon the photos you submitted, I would recommend a transconjunctival lower blepharoplasty with laser resurfacing of the lower eyelid skin. The advantage of this approach is that it is a more permanent procedure as the puffiness appears to be protruding fat around your lower eyelids. This can be removed from behind the eyelid without a visible scar and the laser can be used to smooth the skin below the lashes as well. Alternatively, you can do filler which is temporary and does not remove the puffiness as it only helps with the transition between the lower eyelid and cheek area. I would see a facial plastic surgeon in your area.