Malar bags difficult to correct

Michael A. Marschall, MD answers: Lower blepharoplasty for bags from muscle?

I am scheduled for an upper and lower eyelid lift for bags under my eyes. The bags are not fat. My doctor says it is muscle, and although he cannot remove the bag, he can make it less noticeable by removing skin. Does this sound accurate?

Lower blepharoplasty for bags from muscle?
Michael A. Marschall, MD
13 months ago
By Michael A. Marschall, MD - Chicago Plastic Surgeon

Sounds like you have "malar bags", which represent the lower, outer corner of the orbicularis oculi muscle. These can be difficult to correct, and typically can only be minimized as you mentioned. In my experience, some form of muscular tightening is necessary in addition to skin modification.

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