You seem to have a fairly mild case at this point. They are caused by a loss of support from the orbital/malar retaining ligament. A midface or midcheek lift would help. Also adding volume to the entire tear trough area will help to camouflage this malar descent. Fat and fillers would be the best option for adding volume. A laser resurfacing procedure would improve the texture and that in combination with either fillers or lifting will improve.