I'm a 39 yr old male with malar bags and look really tired what do you suggest? (photo)

Malar bags are caused by sinuses, allergies and
smoking. These conditions drain fluid in an area behind the eyeball called the
cavernous sinuses. Through time, they become static at the malar area. If these
are not your issuesthat cause the malar bags, then most likely it’s a genetic
problem.



When patients who have malar bags come to me, I
first assess their face especially their eyes so that I can maximize the
improvement of their appearance. Malar bags may have bothered you but you must
also observe that you have puffy areas around your eyes.
This is called lower eyelid fat prolapse. However, since this is not your
concern as of the moment, I could only point that out to you.



A person’s eyes tell so much about how one
feels. There is a certain type of non-verbal communication when you look at a
person’s eyes. When a person has puffiness under their eyes, they are often
perceived as being tired or even old. This has a tremendous impact on the
social and work life leading people to look for some type of solution.



The options that have been used for malar bags
and festoons are lasers and peels. In my practice, I tend to avoid anything
that adds heat to an area. Clinical studies and pathology reviews have showed
that there’s fluid in the malar area because of inflammation or inflammatory
cells, so interventions where heat is used can actually make the problem worse.
Sometimes, the easiest way to treat festoons is to remove them. I’ve also used
fillers to try to soften the transition of the appearance of the malar festoons,
but because of the complexity of the area, the use of fillers can be
frustrating.



I suggest that you take some full faced photos
and ask people how your eyes look, not merely focusing on the malar festoons
but also look at the under eye bags. If you are motivated, then pursue the
things that would yield a more predictable result. I hope that was helpful, I
wish you the best of luck, and thank you for your question.