I don't know if I have malar bags or festoons? I just want them gone! Any suggestions? (photos)

Thank you for the question and the photos. In my practice, difficult malar edema and puffiness is addressed with a radiofrequency heat device. The ThermiRF is used in two different forms -- as a topical, through the skin application of heat (ThermiSmooth) and as an injectable, micro-invasive delivery (ThermiTight). Depending on the severity, one or both of these may be used. This is a great way of causing contracture of the puffy tissues, and avoids a lot of needle sticks with other treatments.

Malar Bags are also called festoons.  Non surgical treatmente include injection with Fluorouracil/Kenalog or Deoxycholase. Several injections with filler surrounding the bags may correct the condition.  Surgical excision or microliposuction are options.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.