Deep Hollows Under Eyes and Large Malar Fat Pads - Advice?
asked 1 year ago by Lansing in Lansing, MI
Latest answer by David Shafer, MD
Question viewed 660 times
Tags: cheeks, lines, under eyes, male, fat pads, hollow, malar bags
I am having a very difficult time determining what I need done. I have deep hollows under my eyes, and I also have huge malar fat pads that stick out when I smile. These create lines across my upper cheek. Even when I don't smile they form a droopy strip of fat going from the nose to the jowl. My lips are also downturned at the corners when I smile. I seem to have big lip muscles at the corners of my upper lip. It makes smiling uncomfortable and odd looking. Thanks for any advice you can give.
4 answers to Deep Hollows Under Eyes and Large Malar Fat Pads - Advice?
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Face Anatomy and Plastic Surgery
Without examining you, it is hard to give specific advice. However, what you describe is common in many people. Defining a smooth lid-cheek junction is a goal in maintaining a nice aesthetic to the face. This can be accomplished through several different procedures and surgeries such as dermal fillers or fat grafting, lower lid surgery or midface lift, or anatomic facial implants. In consultation with your surgeon, you can determine which procedures or treatments...
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Malar descent and nasojugal grooves
Smiling photos tend to raise the malar mound. It is hard to say from the photos. Sometimes non-invasive things such as fillers can help soften the areas. Also facelifting techniques can help.
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Infraorbital hollowness and malar fat droopiness
It seems that some of your issues have to do with lack of structural support under the orbit. Your lateral photos suggest a negative vector produced by the hollowness. This contributes to the sagging of the midface soft tissues There are many approaches to this situation. Some will fill the hollowness with the fat under the eyes or with injectable fillers. Some will use implants in the tear trough and malar regions (there are a wide variety of these implants). Some will suggest a...
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Treatment of tear troughs
I can see what you describe with respect to hollow under the eye (tear trough) and the nose to jowl line (nasolabial fold). I do not see what you describe with respect to the lips and in my opinion the prominence of the cheeks when smiling is a sign of health. The lines above the cheek prominence when smiling is a different issue. My recommendation would be filler injection to the tear trough and nasolabial folds and botox for lines above the cheek. That is the simplest approach with the...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
