Are these malar bags/festoons? I usually get Restylane to fix these, but want a better solution. Advice? (photos)

Question

I typically get Restylane to fix these but I was wondering if there was a better solution? And what exactly they are!

Adam Scheiner, MD · Answer

Dear Melanie,It appears from your photos that might have a congenital form of eyelid festoons/ malar mounds.These are swollens mounds that form in the lower eyelid and cheek region and are usually related to past sun damage. They usually occur in those with light skin types. In certain families though these can form earlier. The are difficult to treat but I've had success using lasers to improve this condition.I'll include some links below.I hope this was helpful.

Jonathan Kulbersh, MD · Answer

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Jason Emer, MD · Answer

Unfortunately these are genetic and can be improved with lasers, micro needling, peels.  RF facial monthly also help.  Best, Dr. Emer.

John R. Burroughs, MD · Answer

Dermal fillers can both help and worsen true fluid "bags" under the eyes depending upon your anatomy and the filler placement and the reason for the fluid.  The best under eye fillers are Restylane, Belotero, and Volbella.  There are other treatments that can help.  This includes topical treatments (SkinCeuticals AOX eye serum); Laser Treatment; Radiofrequency Treatment; and rarely surgery.  Seeks a qualified physician to go over your best options.

Chris Thiagarajah, MD · Answer

Fillers such as Restylane, Volbella, Beletero work well for this. I wouldn't change the treatment plan.

Are these malar bags/festoons? I usually get Restylane to fix these, but want a better solution. Advice? (photos)

Answers (5)

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