Are the festoons and what are my treatment options? (18 year old male). (photos)

Hi SMC,
Based on the photos and details you provided, it looks like these are in fact festoons. This is an area that has received a lot of attention by the plastic surgery community recently because it is a difficult problem to fix. Traditional modalities have included laser, steroid injection, direct excision and others. Some festoons (like yours) are present at childhood, and others come about later in life especially after face/eye surgery or treatments such as botox or filler. There are new experimental treatments (tetracycline/doxycycline, other injectables, lower lid surgery) that have shown promising results if the correct type of festoon is diagnosed and the treatment is performed by someone very experienced. If you are having difficulty finding someone who specializes in festoon treatments, I suggest you seek out a well-trained plastic surgeon in your area who can steer you in the right direction.
Thank you very much for your question. 
Mark G. Albert, M.D.

I WOULD TRY FILLERS BEFORE GOING IN AND DOING SURGERY , THE DIFFERENCE BETWEEN FAT TRANSFER AND FILLERS ARE FILLER ARE LESS INVASIVE AND CAN LAST 6-9 MONTHS SOMETIMES UP TO A YEAR DEPENDING ON WHICH ONES. FAT TRANSFERS ARE USUALLY SURGICALLY DONE WITH LIPO AND TRANSFERRED TO ANOTHER AREA OF THE BODY. A FAT TRANSFER CAN ALSO BE DONE THROUGH A LOCAL AFTER SURGERY FOR A REPEAT FAT INJECTION. FAT INJECTIONS OR TRANSFERS ARE USUALLY MORE PERMANENT. THIS IS SOMETHING THAT YOU MAY WANT TO SPEAK TO YOUR DOCTOR ABOUT IN A CONSULTATION AND SEE WHAT YOUR OPTIONS ARE.
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You may want to look into laser treatment.  There are different types of lasers on the market and you want to be sure the treatment you select is for this concern.  I encourage you to meet with a board certified plastic surgeon in your area for a consultation and discussion of a treatment plan that's right for you.