My dad is one of the toughest guys I know. He developed these huge bags under his eyes in his mid 40s. This caused him to look much older and tired than he really was, and detracted from the rest of his face and features. He wasn't happy with the way he looked and couldn't do much about it. Eventually he opted for a surgery to remove the bags. Had the nastiest bandaged, black eyes for months, and then viola, he looked 10 years younger. I wouldn't be so quick to discount all forms of surgery.
Vice-Captain - #TeamWaitAndSee