Malar bags. What can I do? (Photo)

Dear 23 year old patient,Although malar mounds and festoons tend to develop later in life, they can be seen in certain families at an earlier age. They can wax and wane and tend to be worse in the morning. The best way to improve them is to have new collagen fibers and elastic fibers fill that area of the face. The body has great abilities to heal itself and when injured it tends to do this. I've had success improving malar mounds and eyelid festoons using lasers. I'll include a link below. I hope this was helpful. 

You appear to have a demarcation between your lower lid and cheek junction.  Injectable fillers would be most suitable for your case.  You also may benefit from a laser resurfacing of the lower lid cheek junction.