You will need a lower blepharoplasty to transfer fat into the tear troughs.Best Wishes,Gary Horndeski, M.D.
The proper injection technique employing a robust HA volumizing filler for the cheeks can help to contour a more ideal, desirable, oval, heart-shaped face as well as smoothing the transition between the upper cheeks and the lower lids (thereby improving the under-eye hollows and tear troughs. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. In experienced hands, treatment typically takes about fifteen minutes, yields immediate results, and engenders little to no significant downtime. Hope this helps and best of luck.