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

Hi and thank you for posting your question here! As
I see in the picture you posted, I do not think you need any surgical
procedures. You can get complete correction with injection of fillers under the
eyes. You have several options such as Belotero, Volbella or Restylane.
I highly recommend doing the injection using a cannula which can help
achieving very natural results while leaving minimal bruising or swelling. It
is a quick procedure when performed by a well experienced physician and there
is none to minimal down time. I hope it helps and good luck!

Based on your photos you have a combination of fat prolapse (lower eyelid bags) and volume deficiency of the tear trough.  There are a number of options for you including injectable fillers, lower blepharoplasty, and fat grafting.