I'm only 19 and i think i may have malar festoons/tear troughs how do i get rid of them? (photos)

Fillers, lasers, skin care can all help this issue in someone younger.  I suggest you see an expert.  Best, Dr. Emer.

Hello Ze97,Thanks for your question.Those lines are known as the tear trough deformity.  In your case they just indicate that your cheek bones don't project as far forward as they should.  It is normal and frankly very common.  If they bother you, the easiest way to correct them is to use injectable hyaluronic acid filler like Restylane or Juvederm to build that area up.  There are risks to the procedure that need to be understood before moving forward.A consultation with an injectable filler specialist in your area would be the next step if you choose to correct them.Good luck,Dr. Shah

This is a mid cheek groove.  It is caused by a relative deficiency in the buccal fat that normally supports the cheek superior cheek volume.  First, this slight groove is normal and masculine.  You do not need to do anything about it if you choose.  Alternatively you can have a small amount of hyaluronic acid filler in the groove.  Treatment is comfortable and likely to last over a year.  Do not have permanent fillers for this and do not get a so-called smooth filler for this.  My preferred filler for this is Restylane.  Look for a highly experience injector.

The tear trough deformity is an anatomic/genetic band separating the medial one-third and the lateral two-thirds of the lower eyelid.  If you were over 40 years old and my patient, I would recommend a lower eyelid bleph with an obicularis muscle sling which, in my experience, can get rid of the step off.Since you don't have enough loose skin and lower obicularis muscle for a muscle sling, I would recommend Voluma injected into the medial one-third or nasal aspect of the lower eyelid.  Voluma can fill the apparent depressed area and therefore camouflage the step off.In my opinion, the advantage of Voluma is that it lasts over 1-1/2 years and is much more malleable than most of the other HA's.  I am a big believer in "if something about your appearance bothers you and you are going to waste psychological energy on that, then JUST FIX IT." 

Malar cheek bags or edema seem to be genetic, sometimes associated with allergies. You are a handsome young man and wasting time and money on this at your age should not be encouraged.  Being attractive is more about personality than looks. Find something you love and try to be expert at it. Read widely and be conversant in many subjects. This will make you more attractive than thousands of dollars in fillers.