Can laser treamtent get rid or malar bags/festoons? What solution is there?

Question

I have had lower face lift, neck lipo, upper & lower bleph & co2 laser a year ago. I am left with malar bags, festoons,. Makes me look very old & tired. It was told to me that the laser treatment wd get rid of these. Anyone have a solution for this? Thanks

Lawrence Kass, MD · Answer

You do, indeed, have malar bags or festoons.  As in your case, these can, unfortunately, detract from one's appearance and, as in your case, they are not improved by facelift or blepharoplasty.  There are very few doctors who have experience addressing this problem and even fewer who are good at it.  Contrary to advice that you have received from other doctors on this forum, avoid fillers at all costs and  personally, I would avoid any doctor who advocates for direct incision over the bags.  There are better options!  Only see an experienced oculoplastic surgeon who can show you before and after photos (the more the better) of other people he or she has treated.  Please let me know if I can be of further assistance.  Good luck!

Zoran Potparic, MD · Answer

This is very difficult deformity to treat. Combination of extended lower blepharoplasty with cheek lift may work. In person consultation (few) with a board certified plastic surgeon with good reputation in eyelid surgery/facial rejuvenation is recommended. Good luck.

Andrew Campbell, MD · Answer

I have found that lasers can not improve malar bags / festoons long term. They may look better initially, but they always seem to come back rather quickly. Any non-surgical treatment is also highly unlikely to give you a great result and fillers can sometimes make these look worse since they can block some lymphatics and cause additional swelling in the area. I typically reserve direct excision for festoons that are severe and almost are a flap. For festoons like yours I prefer the extended lower blepharoplasty with midface lift. The extended scar ends up looking great and the lift can greatly improve the festoon.Andrew Campbell, M.D.Facial Rejuvenation SpecialistQuintessa

Tanveer Janjua, MD · Answer

the best solution is to use a laser like Resurfx and get fillers such as Sculptra in the cheeks. Regards

Jason Emer, MD · Answer

There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Adam Goodwin, MBBS, FRCS(Plast) · Answer

You do indeed have malar bags or festoons. These will be slightly improved with laser but  I suspect you will end up disappointed. Two options are direct decision leaving a scar where the bag currently sits. This sounds radical but actually leaves a very good scar which is very hard to see. Your other option would be a lower lid blepharoplasty and midface lift which would cover the festoons with midfacial volume. Hope that helps. Regards, Adam Goodwin.

Camille Cash, MD · Answer

Malar bags are difficult to treat.  Some patients see improvement with lasers, but I don't think you'll notice a significant difference based on your photos.  I recommend visiting with a board certified plastic surgeon in your area to discuss your concerns and explore options available to help address this area.

Robert Berberian, MD · Answer

With my experience lasers are not helpful for this , you have a better result with fillers and PRP solo or together. Both of these or solo need to be injected at different levels to obtain the proper smoothing result without the over filled celebrity look. I Hope this helps you

Can laser treamtent get rid or malar bags/festoons? What solution is there?

Answers (8)

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