Thank you for the question, because it is one many patients have. The puffiness of the lower eyelids is caused by fat herniating forward. The slight mounds beneath them are festoons. There are several different ways to deal with the bags, ranging from fillers to surgery. The festoons are more difficult manage. Excision or laser skin resurfacing might improve their appearance. Make an appointment with an experienced oculoplastic surgeon for evaluation and guidance. Good luck,
You have both lower eyelid bags and festoons. The treatment is very different. Lower eyelid bags are treated by lower blepharoplasty while there are various okay options for festoons. See an oculoplastic specialist.