Are these malar bags? (Phtoo)

Question

I'm 27 years old and "something" appeared under my eyes. I don't know what's this and what is the cause I have it?Thank You

Jessica Lattman, MD · Answer

Thank you for your question. Yes, these do appear to be malar bags. The main features of malar bags are the location (they are right below or on the orbital rim) and that they fluctuate (they are usually worse in the morning or after a salty meal the night before).I would suggest avoiding salty foods and sleeping with your head elevated. In my experience using a stick on silicone pad while sleeping can help. Some patients will consider taking a mild diuretic (water pill) to help. Best of luck.

Jason Emer, MD · Answer

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing. See an expert to determine if this is the best solution for you. Best, Dr. Emer

Adam Scheiner, MD · Answer

Dear New York,It appears from your photos that you have festoons/ malar mounds. These are swellings in the lower eyelid or cheek region that can make a person appear tired, and older even when they feel fine inside. They often occur with age and are more likely in individual with lighter skin type who had past sun damage. They are difficult to improve but I've had success using lasers to help this condition.I'll include some links below.I hope this was helpful.

Jonathan Kulbersh, MD · Answer

Yes, these are slight malar bags. Malar bags can be permanently corrected with surgery or temporarily camouflaged with fillers.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. Cost will vary and can be discussed at your consultation.
I hope this helps!

Andres G. Sarraga, MD, FACS · Answer

hi and thank you for your question.  The bag that you say you see is literally a small pocket of tissue and get swollen depending on many different factors ranging from salt intake, alcohol intake, blood pressure  to genetics.  It’s difficult to say what treatment will exactly work for you for a consultation with a board-certified plastic surgeon will help .  Understand what may work for someone else may not work for you .

Samuel Baharestani, MD, FACS · Answer

Thank you for sharing your case and photos.  Yes, these are malar bags that we call malar edema.  Even young people can have your condition.  Try to stay away from salty foods and sleep with an extra pillow behind your head.  Make sure that your blood pressure is under control and you are otherwise in good health under the care of your primary doctor.  Stay away from fillers in the area because it will definitely make the condition worse.  Consider a consultation with a board certified oculoplastic surgeon to discuss what else can be done to help.  Good luck!

Are these malar bags? (Phtoo)

Answers (6)

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