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29 - are these Malar bags and what are the best treatment options?

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Kiyo29
Hi everyone! I have a question. I’m dealing with a concern around my eye area. To me, it looks sunken or saggy. Could this be malar bags? Or are they just under-eye bags? I’ve always had a bit of puffiness on my cheekbones, but it seems to be getting worse as I get older. Many people in my family have it too. I’m very self-conscious and insecure about it—it makes me feel like I look tired all the time. I’m only 29, and I’m worried it will only get worse as I get older. What do you think it could be, and are there any procedures that might help? I’ve read that fillers aren’t recommended for malar bags (if that’s what these are). I’m really curious to hear your thoughts. Thanks in advance!

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From board-certified doctors and trusted medical professionals
Dr. Camille Cash, MD
Board Certified Plastic Surgeon
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Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
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