I'm a 31-year-old Female. I Have Malar Bags. What Procedure Do You Recommend?
Doctor Answers 5
Malar bags treatment with Direct Excision, Fat Grafting, Lower eyelid Lift
Thanks for reading, Dr Young
Don't get laser or fat for this.
Hey you are 31 with a small issue. A small amount of Restyalne or Perlane will help you very much. Laser resurfacing to sufficiently tighten your olive skin to improve the festoon will damage your natural skin pigmentation (think Casper the ghost). Fat grafting requires surgery. It is my opinion that it is very difficult to get a fat grafting service to actually fix a festoon. Healing from these is simply too unpredictable. However, I have seen plenty of fat grafting procedures make a festoon 10 times worse.
Depressed? Get Fat or Fillers
If you have a depressed area on your face, the quickest and most simple treatments are fillers injected under the skin in that area, such as Restylane or Juvederm. These treatments are not permanent, but can last up to one year. Fat grafting is another option and can provide a more permanent result, but it can be difficult to get a complete result with one treatment. A portion of the fat that is grafted does not survive, and it is difficult to control this amount. A midface lift is a surgical option to restore your youthful appearance.
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Be minimally invasive
There are a number of invasive procedures which can be offered to you in an attempt to improve your condition. My experience is that in this instance less is better. A trial of fillers (Restylane, Juvederm) is your best option with the least chance of problems. Also these products can be "erased" as easily as they are placed. I know fat injections seem like a more permanent fix - but I have seen many complications with treatment for this problem. Best of luck. Please make sure to see someone well versed in these issues.
You seem to have a fairly mild case at this point. They are caused by a loss of support from the orbital/malar retaining ligament. A midface or midcheek lift would help. Also adding volume to the entire tear trough area will help to camouflage this malar descent. Fat and fillers would be the best option for adding volume. A laser resurfacing procedure would improve the texture and that in combination with either fillers or lifting will improve.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.