I'm not sure if I have malar bags or festoons. I have swelling under my eyes on my cheekbones. (Photo)

You do have malar festoons and also some skin pigmentation issues. My preferred way of dealing with this in your case would be the use of a lightening skin for a few weeks to prepare the skin before  using a CO2 laser. a few sessions months apart should improve the problem very significantly. Good luck

Dear Patient from the city of Brotherly Love,Your photos do indicate that you have swelling of the lower eyelid and cheek region. These could be festoons and or malar mounds. These conditions are swelling of the lower eyelid and cheek region and often have a basis in past sun exposure. Options include surgically excising them which can leave a visible scar on the face or my preference is to use lasers to improve eyelid festoons.I hope this was helpful. 

Thank you for sharing your question and posted photo. It appears you have edema (swelling) of the skin in the cheek region of the face. This can be difficult to treat, but not impossible. It requires comprehensive evaluation in-person for best guidance. For your problem, it would be best to make consultations with a few doctors.Good luck,

You have large malar fat pads.  Have you had anything injected into this area ever?  Looks like some edema or chronic inflammation that can occur especially after biopolymer injections. These are tough to treat.  Sometimes a mid-face lift or bleph can help.  Sometimes laser can help to tighten the skin.  Need to get in person consult to determine what might benefit you.  

You do have what appears to be early festoons, These are very difficult to treat, but they can be improved significantly. First, check with a physician to assess your thyroid status, as well as a good physical exam. Providing studies are normal, I would start with ThermiSmooth treatments. You may have to graduate to ThermiTight treatments eventually, both of which melt fat and tighten skin. The ThermiTight is one treatment and micro-invasive, and the ThermiSmooth is 3-4 treatments.Ultimately, as you get older, festoons can be excised.Through the years, I have found this to be very effective, and the scar fades with time  The faint scar is quite an improvement over the festoons.Thank you for your question and photos..