Deep under eye creases - what procedure would help me? (Photo)

Thank you for sending your photos-- you would be a great candidate for a lower blepharoplasty with fat transfer. This will give you a more refreshed and rested appearance. Best of luck, Dr. Nima!

A lower lid blepharoplasty with fat grafting, releasing the arcus marginalis should help soften this depression. The decision to pursue this is very personal and if unsure if to proceed, maybe you should ask people close to you.