I've been told I have hereditary festoons. Is this what I have and what are my options? (Photo)

Festoons are one of the most challenging anatomic problems we deal with as surgeons since there is no perfect fix. Anyone who tells you otherwise, is either fooling your, or themselves. Fillers are an absolute no-no because of the tendency for Hyaluronic Acid to draw in fluid (hydrophilic). Radiesse can sometimes be used, but that may still cause fluids.
Options that have shown some benefit:
1. Morpheus RF microneedling
2. Laser resurfacing or deep chemical peel
3. Decreasing inflammation, especially if you have rosacea. Your photos suggests that you might. IPL is a great option
4. Injection of tetracycline of doxycycline into the swollen area
5. Accutite RF treatment (this is often combined with Morpheus RF for a synergistic effect). This would be my recommendation if you were in my practice.
Good luck

yes these are congenital swelling. lasers and plasma pen improve this. fillers can camoflage it. sometimes surgery helps but often not.

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.