Options For Puffy Cheeks and Weird Bulges Under Eyes? (photo)

With only one cropped photo it is difficult to give much of an opinion with limited visual information. But it appears you have a midface soft tissue problem that is somewhat similar to malar festoons. There is puffiness over the cheek bones and this creates a ridge above them along the lower orbital rim. Your options include the use of injectable fillers to fill in the ridge above the puffiness or a malar resuspension procedure done through a lower eyelid incision. The soft tissue... more

A physical examination would be in order, to make sure an effective recommendation can be made. You may need different procedures, surgical and non-surgical to achieve the facial balance you are looking for. I recommend you visit with a local facial plastic surgeon close to you for consultation and comprehensive discussion of what options are available to you.