Is my lower eyelid / cheekbone puffiness to difficult to get rid of with lower eyelid Blepharoplasty? (photos)

Chronic elevation in the cheek area is referred to as malar
edema or malar festoons. Based on your
photos, you don’t have festoons. Festoons are like bags that hang over the
cheeks. Mostly likely, that area in your
cheek has edema or swelling wherein there’s fluid within the tissue. This is
mostly caused by smoking, allergies, sinus problems and genetics. The first
three causes area manageable. Unfortunately, the type of swelling which is
caused by genetics is difficult to address surgically. As a facial plastic
surgeon practicing for 20 years, I have seen many methods presented like CO2
laser and cauterization under the skin. However, a lot of those methods can
worsen the problem.



There are selected patients where we try different things to try to do shift the focus away from those lines by a
strategic use of various fillers. We even use platelet-rich plasma. This is
drawn from your own blood which is spun down to concentrate the vascular growth
factors. These factors improve circulation of the skin in that area.



Ultimately, it is a matter of how to improve the appearance but
not definitively removing the swelling in that area. We are all constantly
looking for solutions for this, but if you have any of the previously mentioned
risk factors, try to treat them personally. Until then, I would advise that you
avoid surgery and meet with some doctors to get some opinions. The thing that
we can’t do with photo alone is a 3-dimensional appreciation of the volume and
projection of this area and how it impacts on you. So I suggest a good
assessment through physical examination for you to know how to address your
situation. I hope that was helpful, I wish you the best of luck, and thank you
for your question.

Believe it or not, Restylane (a facial filler) is great for filling in the dark circles underneath the eyes. I have done this many times with great results and no surgery!  Therefore, you might want to try this before embarking on surgery.Kind regards,Dr. SchreiberBaltimore Plastic Surgeon

Best to be examined in person, but appears as swelling in the malar area and serious tear trough deformity. Try a filler to the tear trough like Belotero Balance 1 or 2 syringes And RF external to cheek bones like ThermiTight RF external..