I've had these malar bags even since I was a child (Photo)

Dear Patient from NC,Malar mounds and eyelid festoons are challenging conditions to treat. They often occur with age and sun damage but can run in families as well. I've had success using lasers to stimulate the skin to remodel this area with tighter  skin improving the appearance of lower eyelid festoons and malar mounds. I'll include a video below.I hope this was helpful. 

Lasers, RF treatments, fillers, and peels work best in this area. Your son is so young, at this point it would be best to provide proper skin care and wait. I suggest seeing an expert for a formal evaluation. Best, Dr. Emer.

I once read a journal editoral on malar bags (festoons) wherein the author essentially stated there are many solutions to this problem. He went on to assert that when a problem has many solutions, its usually because none work well all the time on most people. Unfortunately, it is true that malar bags are not an easy thing to fix. Having tried many treatment options, the one I find works the best most on the most people, is CO2 laser resurfacing.