Thanks for your question and photos. In younger patients, hyaluronic acid filler to the tear trough would be the way to go. I use Restylane or Restylane Silk for this delicate area. This is a more challenging area to place filler because of the proximity to the eye and orbital structures and the thinner eyelid skin, so it is important to go to a physician who is comfortable doing tear trough fillers either an oculoplastic surgeon, board certified plastic/facial plastic surgeon, or dermatologist. A "skin pinch" or lower eyelid blepharoplasty is a procedure I use when there is excess loose skin around the lower eyelids which appears minimal in your photos but can better be evaluated face to face. Unfortunately surgical procedures are never without risks and rarely a "quick fix". Seek out an expert in your area. Good luck!
Dark circles under the eye
Thank you for your question candylala. Dark circles under the eye are common concerns. These become more prominent as one ages. Unfortunately there is no permanent solution because we are always aging. However fillers such as Restylane can restore lost volume under the eyes. For my patients I Start with one syringe, as this is a good conservative amount and more can be added. Most people enjoy their results in this area for about 6 months. Please consult with a doctor for specific recommendations. Good luck!
Filler- Restylane to tear trough
Fillers can help. In your case, expect an improvement of 30-40% with Restylane. I also like Volbella by Juvederm (not Voluma in this area). See a Board certified Plastics or Dermatologist as this area can be tricky. All the bestDr Davin LimLaser and aesthetic dermatologist