26, what is the best treatment to permanently get rid of the groves under my eyes? (Photo)

Despite the fact that you don’t like fillers, it is the most effective treatment option.
Fat grafting in this area is imprecise, unpredictable, and unforgiving. If you don’t like the outcome.
Other alternatives, you’ll probably find also undesirable such facial implants or a midface lift.
The primary problem stems from facial skeletal structure.
For this reason soft tissue manipulation tends to be inherently limited.
This is not an easy thing to fix long-term
Best,
Matt Hagstrom, MD