How to treat under eye top of cheek malar bags? (photos)

There isn't a really easy fix for your issue. However, a bit of filler can help ease the transition between the under eye area and the cheek. It is certainly worth a try. Find a board certified plastic surgeon in your area and schedule a consultation to discuss. Laser skin resurfacing could also help to tighten the skin which would improve how things look.My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Dear Carrie,It seems that you have a common problem that many face as they age. You have lower lid bags protruding through into the lower eyelid space as well as eyelid festoons/ malar mounds.They each need to be addressed for the best results.I've had much success using Lasers to help these conditions. Make sure the surgeon you choose has experience treating this difficult condition. I hope this was helpful. 

Lasers, fillers, and peels work best in this area.  I suggest seeing an expert for a formal evaluation.  Best, Dr. Emer.

You are seeing the outline of the malar fat pad and the transition from lid skin to cheek skin.  This is a hard thing to treat.  A small amount of filler can sometimes help to fill in the line.  Lower lid surgery can help to elevate the fat pad and change the shadows - but many people frequently still have persistent edema in the fat pad.  Laser resurfacing over the area can sometimes tighten the skin and help with the shadows.  Unfortunately there is no easy fix for this!  

Significant periorbital fat atrophy. Your cheeks are also loosing some fat specially at the lateral compartment, which then results in your nasolabial FAT PAD falling making the nasolabial FOLD more pronounced. In some cases this will cause an evident nasojugal groove from the inner corner of the eye (medial canthus) towards the cheek. I do not know for sure if this is your problem or if this in fact is thickening of your malar fat pad area. If the deformity is related to descent of your cheek fat compartments, then you would be a good candidate for a cheek lift with fillers. I would recommend Radiesse in your case, because your cheeks are heavy and you need a product with a large G' (pushing force). I would also correct your under eye hollowness with Belotero injections. I prefer Belotero in this area because it attracts less water than other fillers such as Juvederm or Restylane. Hope this was helpful. Good luck!

It's a little hard to tell from the photos, but if you also have some fullness in the lower lids or even just some loose skin, it's possible to correct the lower eyelid shape and perform a small cheek lift at the same time. That produces a great overall contour. Injections are also effective if place in the groove on the front of your cheek, but the result is different and injections aren't permanent.

Thank you for sharing your case and photos.  Malar bags are a notoriously difficult thing to treat.  In many cases, filler injections will make the condition look worse.  Try to stay away from salty foods and sleep with an extra pillow behind your head.  This will help your body decrease fluid retention.  Some doctors will try lasers, but I find this of limited benefit.  Good luck!