Permanent Teatment for Malar Bags?

Male, 33. I've always had malar bags and I am wondering what permanent treatments might be available to reduce their appearance. Of course, the less invasive the better. I am particularly interested in laser if it is effective. What kind of doctor should I see? I live in Orlando, FL. Thank you.

update: 04/26/2012
Hello Doctors, I have always had what I believe are malar bags (festoons). They make me look sleep-deprived/tired etc. Could you please let me know what the options are for fixing them, and the approximate cost, and what the specialist is called? I am male, 33, and I do not wish to have a scar on my face. Is there are way to excise them from inside the eyelid? Thank you.

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Permanent Teatment for Malar Bags?

Festoons would be unusual at your age. However, they are very difficult to treat. Laser resurfacing can be beneficial but direct excision which leaves a fine scar on the cheek is most effective. Filler treatments can be performed but patients typically require so much filler volume that it can distort the cheek. I would recommend an in person consultation with a facial surgery specialist (Facial Plastic Surgeon or Plastic Surgeon) for further information. I hope this information is helpful. more

Malar bags and how to treat them

I definitely don't think that midface lifts or lower eyelid lifts are the way to go. They can be unnatural and the risks are high. I like filling for malar bags. Direct excision can be considered but are inferior given the external excision. Filling is the much preferred approach over face lifting. see video