Is there any help to treat my malar bags and festoons?

Question

Hi, I’m 30 yrs old, ever since I can remember I have had lines under my eyes as I’ve gotten older they now look like bad bags! I’ve doctor shopped in my local area and have seen ps but they just give me fillers and it makes my face look even more horrible, this is cause me extreme depression I’m trapped in my house I do not wanna go out and when I do I wear glasses, I feel like my looks are falling apart? Is there any treatment for me? Please help! Anybody in my area that can help or close by?

Joelle Rogal, MD · Answer

Malar mounds can be difficult to treat.  They often fluctuate during the day and worsen with a high salt diet.  Fillers can be used in some cases very superficially to camouflage the depression.  However, you should seek a facial plastic surgeon who is familiar with correcting this problem, as injection into the wrong area can make the problem worse.  If you have already had fillers placed and it has made it worse, you may benefit from injections of hyaluronidase into the malar mound and surrounding area.  All hyaluronic acid fillers attract water, so placing fillers near the malar mound can sometimes draw water into the malar mound, making it appear worse.

Zoran Potparic, MD · Answer

It would be very difficult to give you good advice based on these photos. It looks that your problem is related to tear trough deformity which can be corrected with transconjuctival blepharoplasty. Incision is placed inside your eyelid and no skin removal is needed. addition of small amount of fat grafts may be considered. In person evaluation would help to give you more accurate assessment and plan of treatment. Good luck.

Camille Cash, MD · Answer

This issue is difficult to treat.  Some mild malar bags can be improved with filler.  Sometimes patients find improvement with lasers.  I encourage you to meet with someone experienced in treating these to discuss which options may be best for you.

Jeffrey Schiller, MD · Answer

It does look like you have some malar folds or bags. I do not agree that you need a transconjunctival blepharoplasty from these photos. Pictures taken from directly in front of you about 3 ft away in room lightwould let us see what is wrong with more clarity.Malar folds, bags, and festoons can be difficult to treat. Fillers generally do not help.. A midface lift can often solve that problem. There are also aggressive laser techniques that require several treatments. Injections of Doxycyline can also sometimes help.

Is there any help to treat my malar bags and festoons?

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