Can you successfully remove/treat Festoons? (Photo)

I agree with with you and Dr. Martin.  These are festoons and they can be difficult to treat.  I have had excellent results with orbicularis plication, lateral canthal tightening and facial resurfacing.  You need to see an oculoplastic surgeon for treatment and you may have to travel.  I would only choose a surgeon who can show you photos of patients with festoons he/she has treated successfully.

Dear Melbourne,It appears that you are suffering from eyelid festoons. These are related to sun damage to the fragile skin under the eyes and on the cheek region. They usually occur with age and in those with lighter skin pigmentation. They can make a person appear tired or sick when they feel fine inside. They have traditionally been a difficult condition to treat but I've had some success using lasers to cause new collagen formation in this area that can greatly improve the festoons and malar mounds. I'll include a link below.I hope this was helpful. 

Seek out a board certified Facial Plastic or Oculoplastic surgeon for an assessment of this very difficult problem.  Blunt honesty mandates that I tell you that anyone who promises fantastic results treating festoons should be approached with a high degree of skepticism. Most surgical approaches offer little if any improvement (based on 31 years of experience) and about the only thing that occasionally seems to help is using injectable fillers in the area to camouflage the festoon bulging.  To say that treating festoons can be a nightmare is an understatement in the facial plastic world. Good luck to you!

Hi and thank you for your question! Treatment of festoons is often challenging and fillers might not help in many case. I highly recommend that you do consultation with a doctor experienced in treatments under the eyes for an accurate assessment to see if careful injection of fillers can be used to smooth out the transition from under the eyes to the cheek. If you were found to be a candidate for filler, I highly recommend a hyaluronic acid filler to allow easier revision and adjustment down the road. I hope it helps and good luck!

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

These can be very difficult to treat.  Have you ever had filler put into this area?  The swelling you have here is how it may appear after some Juvederm or other fillers into the lower lid. A lower lid surgery can help to tighten the skin.  Some laser resurfacing can also be done to try and tighten the skin and the underlying edema in the malar fat pad.  For many people these may appear better, but will not go away completely.     

Good Day. A competent surgeon may be a better choice than a confident surgeon.
Aesthetic Assessment:
Your photograph reveals the classic festoon appearance. Your face appears slender with some facial volume loss, fairly good quality skin (other than the mild excess skin and edema of the festoon), and mild excess upper eyelid skin.
Background:
Festoons are excess, inelastic skin located on or about the malar area often with adjacent facial volume loss and underlying edema. Treatment has yielded less than satisfying results with either minimal improvement, only partially camouflaging the appearance, and scar formation. 
Festoon Treatment Options:
When there are many treatment options available, it usually suggests that no one option is successful in achieving the cosmetic outcome consistently. The current treatment options include surgical excision of the festoon, dermal filler or fat transfer to the adjacent areas of volume loss, external skin tightening procedures to include radiofrequency, ultrasound, carbon dioxide or Erbium:YAG laser treatments, and mid face lift (usually associated with treatment of the lower eyelid with or without a lateral canthoplasty) or face lifting.
With your anatomic appearance, volume replacement above and below the festoon will improve the overall look of your mid face area. This volume enhancement can be accomplished with temporary fillers (HLA fillers such as Juvaderm or Restylane products) or the permanent filler, Bellafill. Other alternatives include using your own fat (autologous fat transfer). 
However, I would recommend skin tightening of the festoon prior to fat transfer and even the dermal filler placement.
Internal skin tightening procedures:
To improve the cosmetic treatment result of the festoon, I have completed a clinical study, evaluating the success of a novel technique applying a liposuction ultrasound probe (VASER) directly under the skin of the festoon using under local anesthesia. 
The results of treatment with the blunt liposuction ultrasonic probe revealed: All patients noted moderate to severe swelling and mild ecchymoses peaking at 2-3 days and with near resolution by 10 days after treatment. Two patients experienced complete festoon resolution, five patients had 80% festoon effacement, and one patient had 50% improvement.  Four patients incompletely treated benefited from dermal filler placement in the nasojugal groove, zygomatic area, and tear trough. 

Other internal skin tightening techniques include some lasers and Thermi RF (radio frequency). These methods should be carried out with caution to avoid superficial skin injury. If further skin tightening is necessary, external skin resurfacing procedures (CO2 or Erbium:YAG laser or radio frequency) can be performed to finalize the aesthetic appearance. 
In summary, a combination of internal skin tightening of the festoon itself and volume replacement adjacent to the festoon in areas of volume deficiency is recommended.  Further laser or radio frequency skin resurfacing can optimize the result.