Options for Under Eye Bags Caused by Muscle Hypertrophy?

Hi Shellee:
would consider a little filler under your rim and some botox to decreasing the orbicularis contraction that is causing you to have a more significant orbital rim depression.  Surgery a bit drastic for you slight problem.  I prefer to use Radiesse under the muscle and just below the rim.

Dear Shellee, what you are describing and whag can be seen in the photo may not be the same. Muscle hypertrophy of the lower wywlid can be treated with a little Botox and if there is an underlying hollow- this can be corrected with micro fat grafting or placing Restylane on the deep layer in the hollow on the bone.
With Warm Regards,
Trevor M Born MD

Your doctor was correct in identifying this as a muscle problem.
Some have suggested Botox, and others excision of muscle. I would try the Botox first to see if you like the effect. If you do like it and decide to go ahead with a blepharoplasty, make sure the surgeon excises ONLY muscle, and not skin. You have no skin excess, and skin resection might cause scleral show, where the whites of your eyes show under the cornea.
When I look at your picture I see a pretty woman, as many others have noted. You do have a little bit of a hollow underneath your eyelids which you have noticed but many others don't. This area under the lids, specially on the medial aspect of the under eyelid area could be treated with fillers. First try a filler such as Radiesse or Juvederm to the area, and if you like the effect you may get permanent fat grafts.
Read the post below re. fat grafts under the eyes.