Congenital festoons, mid-cheek grooves or both? What can be done? Any surgeon who specializes in festoons? (photos)

Under eye bags and festoons can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye. 
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

You appear to have excess lower eyelid fat that is herniating out. This would need to be confirmed with an examination in person. If you have excess fat, then you would benefit from lower eyelid blepharoplasty to remove the lower eyelid fat. You have volume deficiency to the anterior cheeks. A subtle improvement would help. I would recommend Sculptra and NOT Juvederm or Restylane for this. Be careful about tear trough injections. That would be a bad idea!  Good luck!