What are my option to get rid of deep under eye creases/bags? (Photo)

Thank you for your question and sharing your photo. Based on the photo it appears as though you have a prominent eye bag that is accentuating the deep trough trough below.  There are surgical and non-surgical options for this.  Lower Blepharoplasty is a surgical procedure where the fat pad is removed from under the eye and in some cases transpositioned to the hollow area below.  Being that you are only 25 years old, perhaps a non-surgical approach would be more appropriate. Injecting filler directly below the eye bag into the tear trough will blend the area and give you a more youthful appearance. 

I WOULD TRY FILLERS BEFORE GOING IN AND DOING SURGERY , THE DIFFERENCE BETWEEN FAT TRANSFER AND FILLERS ARE FILLER ARE LESS INVASIVE AND CAN LAST 6-9 MONTHS SOMETIMES UP TO A YEAR DEPENDING ON WHICH ONES. FAT TRANSFERS ARE USUALLY SURGICALLY DONE WITH LIPO AND TRANSFERRED TO ANOTHER AREA OF THE BODY. A FAT TRANSFER CAN ALSO BE DONE THROUGH A LOCAL AFTER SURGERY FOR A REPEAT FAT INJECTION. FAT INJECTIONS OR TRANSFERS ARE USUALLY MORE PERMANENT. THIS IS SOMETHING THAT YOU MAY WANT TO SPEAK TO YOUR DOCTOR ABOUT IN A CONSULTATION AND SEE WHAT YOUR OPTIONS ARE.
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There are both surgical and nonsurgical ways to improve lower eyelid bags and hollows (tear trough). Since you are only 25yr old, this is probably a genetic cause. Mostly likely your mother or father has the same thing. To improve, but not completely fix, fillers can be injected into the hollow area to smooth out the transition between the bag and the hollow. This is relatively inexpensive and done in the office. The only way to completely fix is to have surgical correction. Since you are only 25, the fat can be removed from inside your eye, and a small amount of fat placed in the hollow will give you a nice result. Regardless, make sure you see a board certified, experienced surgeon.

Dear Nagelo,In some families, these lower lid bags due to prolapsing orbital fat present in the teenage years. There are not topical creams that work well. Best would be surgery and seeing an Oculoplastic Specialist in your area would be helpful to completely evaluate your condition and discuss options.I hope this was helpful.  

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

It is hard to tell from a single photo, but it looks like you have excess fatty tissue under your eyes. This is best treated with lower blepharoplasty surgery. In patients in their 20s and 30s who are not ready for surgery, fillers can sometimes be used to camouflage the bags. You would need an in person consultation to determine which procedure would be best for you.

There are a multiple reasons people get dark circles underneath their eyes, including genetics, lower eyelid position, lower eyelid bags, allergens, sun exposure, previous trauma, and loss of volume in the cheeks. Identifying the underlying cause is the most important and effective way to treat them.
About 50% of the patients that see me for eye rejuvenation will not need surgery and they will benefit from minimally invasive procedures such as volume restoration (dermal fillers), this is often more appropriate for younger patients however is not a permanent solution.
A more permanent solution would be a Transconjunctival Lower lid Blepharoplasty which involves making the incision behind the eyelid. This is the most ideal procedure for younger patients or those with very little redundant skin on the lower eyelid.

The bulge under your eyes is caused by herniation of the lower eyelid fat.  The most definitive treatment is a lower eyelid blepharoplasty.  This can be performed through a small incision from the inner lower eyelid (transconjunctival blepharoplasty), leaving no visible scar.  In some cases, the bulges can be camouflaged with dermal filler to the area.  This is a temporary solution and would require repeated treatment.  See a specialist to learn more.  

Thanks for the great question. Unfortunately what you're experiencing is loss of some of the volume in your face, causing those circles to develop. This occurs with aging, weight loss, and is due to genetics. Placing some filler into those areas to replace the lost volume would make a big difference in the circles. Make sure to see someone in your area who has experience injecting this area. Best of luck!~Dr. Sieber

Thank you for your question and photo. You have a common issue that a lot of people complain of. There is depletion of the fat under the eye which makes eye bags appear more prominent. The treatment is a combination of adding some volume (fillers/fat), reducing the bags (surgery), and skin tightening (chemical peel, surgery). Seek a consultation for assessment. Best of luck,