What the best way to improve the appearance of malar bag? (photos)

Make sure that you are consulting with an experienced, board certified cosmetic dermatologist injector. The use of a low viscosity, malleable, cohesive HA filler skillfully and appropriately injected can camouflage the malar bag and create a more desirable, smoother transition between the upper cheek and the lower lid region. The result should elicit an immediate "Wow!" reaction
Expensive "bells and whistles" lasers are unlikely to yield gratifying results, and Sculptra, which requires repeated treatments to stimulate neocollagenesis, is also unlikely to ultimately prove gratifying, especially since immediate results are not possible with this injectable. Hope this helps and best of luck.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Hi @Sabrina245. Malar bags can be difficult to treat. You can try a RF device like Morpheus 8. In severe cases, surgery may be necessary to remove excess skin and tissue in the cheek area. Best of luck, Dr. Nima!

Would not use Sculptra - wrong indication!
Try low dose KyBella to see if dissolve fat pad. Otherwise might offer minor lipo surgery. Best to virtual