Age 49. How can I get rid of these bags under my eyes? (photo)

Hello!Thank you for your question.
As far as I can understand from your question If you can send us your photos at 95 degrees from the front and side profile, we can make a more accurate assessment.
It would be better face to face consultation.
Best Regards!

Difficult to tell based on the photos but the bags are not prominent and you may have malar edema.

The following could help:
- transconjunctival lower blepharoplasty with fat repositioning (if you do have fat prolapse)
- fat transfer
- dissolving any prior undereye/midface filler

Dissolving any prior undereye/midface filler could help the malar edema, but if you haven’t had any filler, or if you have had filler but the edema doesn’t go away even after dissolving, then the edema is from something else.

Consult an expert for an evaluation. Contact me for more details! Hope this helps!

The upper cheek regions are major supports for the under-eyes and when properly volumized are responsible for there being a smooth transition between the upper cheeks and the under-eye regions. From the photo provided, there appears to be some flattening of this critical area resulting in both diminished projection of the outer cheeks and the bags seen directly under the eyes. The use of an appropriately robust HA volumizing filler can both reestablish a more ideal, feminine Ogee Curve and smooth the transition between the upper cheek and the under-eyes, thereby diminishing the unwanted bags. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Best of luck.

When patients have significant fat bags in the lower lids, a trans-conjunctival, lower eyelid surgery can accomplish removal of those bags with the incision completely located on the inside of the eyelid. No external incision is required. This is usually performed under a brief general anesthesia as an outpatient procedure, which takes about 30 minutes. Anticipate 10 days of visible bruising and swelling.