I have under eye festoons or Malar bags that I want removed. What is the best treatment? (photo)

Malar Mounds and Festoons are terms used to describe the skin folds and
swelling of the lower eyelid and cheek which form as a result of years
of sun damage and underlying forces under the skin caused by contrasting
muscle action. Festoons, along with lower eyelid bags, can make us
appear tired or sick even when we feel great inside. Patients with this
condition often report that others think they are perpetually tired
based on the appearance of these Festoons and Malar Mounds. It can be
frustrating for those who feel otherwise fine to be perceived as tired
when they are not.
While some people have a family genetic predisposition to Malar
Mounds and eyelid Festoons, most people develop them as a result of sun
damage to the fragile skin in the lower eyelid and cheek region. Small
doses of unprotected sun exposure over our lifetime can be as damaging
over time to the skin as the few sunburns we had in our youth.
The best way to improve lower eyelid Festoons and Malar Mounds is to
address the cause, which is the tissue sun-damaged over time.
Procedures like my RESET procedure for Festoons and Malar Mounds use
lasers to remove past sun damage and then allow new skin to grow back in
its place. This new skin has brand new collagen and elastic fibers
which tighten the skin and this is one of the best ways to improve lower
eyelid Festoons and Malar Mounds.
I hope you found this interesting.

It appears from your photo that you have a true festoon which is different than eyelid bag fat. There are a number of procedures that can be performed to correct the fulness you have in this area. It is extremely difficult to be able to determine which treatment option would be best for you without an examination. Injecting fillers in an attempt to mask this fullness will not work well unless the festoon is exceptionally small.

Malar festoons are tough problem to treat.  They can sometimes be camouflaged with injectable fillers and lower eyelid blepharoplasty and or midface lifting can also produce some improvement.  Aggressive laser resurfacing can also be used.  This is a condition for which I would strongly recommend seeking the opinion of someone who has a great deal of experience