From the picture, it does seem like you do have some moderate eyebag herniation which i'm assuming has been there since your younger days?
Typically a more complete form of management of your congenital eyebags would be surgical, but I do note a slight loss of volume along your cheek just under the eyebags (hard to tell from the limited view of the cropped frontal photo).
This could be pre-existing and worsen as we age, making the eyebags look more prominent. This makes you a potential candidate for fillers although the results typically last between 1 to 2 years.
Basically:
1. More permanent results but longer downtime:
- Surgical management
- Minimally invasive AGNES Radio-frequency ablation of fat from the eyebag
2. Low to no downtime but requiring more frequent follow-ups:
- Mid-face fillers
- Under-eye fillers
Ultimately, patients who do undergo option 1 are followed-up with fillers as in option 2 to optimise outcomes. Furthermore, aging further changes the landscape of the face and fillers allow for further sculpting and dynamic management later on.
Your choice on the options available will depend on your expectations, budget and time available for healing. I hope this helps.
Cheers, and Merry Christmas
Dr Shane Tan
