Are these malar bags/festoons? (photo)
Doctor Answers 3
You have herniated eyelid fat, not malar bags or festoons
Thank you for your question and photograph. The puffiness that you see is eyelid fat pushing against the skin which we refer to as herniated intraorbital fat. This can be removed with a procedure called blepharoplasty.
Fortunately you do not have malar bags or festoons which appear as fluidlike swelling further down on the cheek, to the side of the face.