35,M with severe tear trough hollowness - What is the best treatment approach? (Photos)

Hello Doctors, I am a 35-year-old male with significant under-eye hollowness and dark circles. Part of the darkness appears to be genetic, as my parents and sister have similar under-eyes, but I also have a very deep tear trough that creates substantial shadowing. I recently had a consultation and was told that my case may be more complex than a typical under-eye bag patient because the primary issue appears to be volume deficiency rather than excess fat. In the first photo, I intentionally squinted so the anatomy would be easier to see. There appears to be a small amount of fat beneath the lower eyelid, but not a significant under-eye bag. Based on the attached photos, what treatment approach would you consider most appropriate for my anatomy? -Lower blepharoplasty with fat repositioning? -Fat grafting? -Tear trough implant? -A combination of procedures? -Something else entirely? My main concerns are the deep hollowness, shadowing, and overall tired appearance. I would greatly appreciate your professional opinions on what you believe would provide the most natural and effective result. For surgeons reviewing my photos, are there any surgeons in Canada that you would consider particularly experienced with severe tear trough hollowness, fat grafting, fat repositioning, or other advanced lower eyelid reconstruction techniques? Thank you for your