I've had tear troughs since birth so I assume they come from genetics. (photos)

I believe you would be a good candidate for fillers. This can improve the under eye hollowness, but it's difficult to give definitive advise without seeing you for an in-person consultation. It may be that you also have festoons which are another problem. Seeing your face from all angles will help to determine the best course of action. . For a more natural approach you could try the 111SKIN Celestial black diamond eye cream which will help to reduce fine lines around the area as well as puffiness and dark circles. 

Thank you for your question. In my practice I often use Restylane injectable filler to improve under eye hollowness and volume loss in younger patients. I would recommend an in person consultation with an experienced injector to determine candidacy which is key in providing a safe and natural looking outcome. I hope this helps. Best wishes. 

Both tear trough fillers (Restylane is my preferred choice in this area) and lower blepharoplasty are good options, so make sure you choose a surgeon that is experienced in both these techniques to give your the pros and cons of each. In my opinion, although fillers can be very helpful in this problem, lower blepharoplasty with fat repositioning is the most natural long term result which will give you the result you need without making you look too different. Fillers can camouflage the problem nicely, but come sometimes lead to some edema (swelling). Also some injectors can be too aggressive with the fillers and add too much volume to the upper cheek, leaving you with the tell-tale sign of "overdone eyes and cheeks".At your young age, you likely don't need a lot of volume addition, but rather reposition the fat from the bulge to the hollow area underneath. If you go the "Eye Bags" photo section in my profile you will see a few examples of repositioning in younger patients. I've posted one of the below.