I have these puffy fluid like pockets on both my cheekbones. I believe they are festoons? To me they are very bad. (Photo)

Hello and thank you for your question! In our practice, we have had some good success using a device called Plasmage (fractionated plasma) to resurface, shrink and tighten the skin over the festoons and thus shrink or eliminate them. Laser resurfacing may also be helpful. Neither of these options should leave any scarring, though they may need to be repeated from time to time. I hope this helps, best of luck! Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS at Center for Classic Beauty, Danvers & Boston, MA

Dear Patient from Virginia,The swollen mounds you appear to have based on your photos are referred to as eyelid festoons and Malar Mounds. They are often related to sun damage over time to the skin in this part of the face. They can wax and wane and are more common in people with lighter skin types. I've had success using lasers to tighten and improve this condition. Other options include surgery to cut them out but this leaves a scar in this area. I hope this was helpful. 

Lasers or fillers can help, but often surgery is the best option. I suggest seeking an expert for an in person evaluation. Best, Dr. Emer