What procedures should I consider for my under eye area?

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat. An in-person exam would provide a more accurate diagnosis, but preliminarily based on your photos it does appear you have pseudoherniation of fat creating "eye bags.” They should also be more prominent when you look up. To create a more youthful look with a smooth eyelid to cheek transition, transconjunctival lower blepharoplasty is a great option. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

Thank you for your question and photos. The appearance of under-eye circles can often be reduced by a combination of dermal filler and neuromodulator treatment. However, since you are interested in a more long-term solution, you may be a candidate for an eyelid surgery known as lower blepharoplasty.
This procedure can smooth the transition from the lower eyelid to the upper cheek area, creating a brighter result that can last for up to 10 years or longer. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can help you decide on the best approach.