Can laser treamtent get rid or malar bags/festoons? What solution is there?

You do, indeed, have malar bags or festoons.  As in your case, these can, unfortunately, detract from one's appearance and, as in your case, they are not improved by facelift or blepharoplasty.  There are very few doctors who have experience addressing this problem and even fewer who are good at it.  Contrary to advice that you have received from other doctors on this forum, avoid fillers at all costs and  personally, I would avoid any doctor who advocates for direct incision over the bags.  There are better options!  Only see an experienced oculoplastic surgeon who can show you before and after photos (the more the better) of other people he or she has treated.  Please let me know if I can be of further assistance.  Good luck!

This is very difficult deformity to treat. Combination of extended lower blepharoplasty with cheek lift may work. In person consultation (few) with a board certified plastic surgeon with good reputation in eyelid surgery/facial rejuvenation is recommended. Good luck.

I have found that lasers can not improve malar bags / festoons long term. They may look better initially, but they always seem to come back rather quickly. Any non-surgical treatment is also highly unlikely to give you a great result and fillers can sometimes make these look worse since they can block some lymphatics and cause additional swelling in the area. I typically reserve direct excision for festoons that are severe and almost are a flap. For festoons like yours I prefer the extended lower blepharoplasty with midface lift. The extended scar ends up looking great and the lift can greatly improve the festoon.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa