Are these malar bags, mounds or festoons? And if so how can I get rid of them? (photos)

Question

I'm 46 yrs old and have this puffiness on both my cheekbone area. It's really noticeable on the left side on the pic. When I put makeup it even looks worse. Any help?

Jason Emer, MD · Answer

Lasers, fillers and peels do well in this area.  We often find that microneedling/PRP helps.  Best, Dr. Emer.

Adam Scheiner, MD · Answer

Dear Dolly,The condition you describe and demonstrate seem consistent with malar mounds/ eyelid festoons.This is a difficult condition to treat but with experience a good laser practitioner could be helpful in improving this condition.I hope this was helpful.

Sheila S. Nazarian, MD · Answer

You would need to have you condition diagnosed with an in person exam, but based on your photo, I think you could see some definite improvement with an HA filler under the eye to fill in the trough and smooth out the transition between the eye and cheek. Schedule a consultation with a board certified plastic surgeon in your area to discuss. My best,
Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Manish H. Shah, MD, FACS · Answer

Hello hellodolly46,Thanks for your question.You do have mild festoons.What I have seen work best for this area is either laser resurfacing to tighten the skin, or PRP/microneedling. If you tend to tan easily, it may be safer to use PRP/microneedling as your treatment.Good luck,Dr. Shah

Fernando Colon, MD · Answer

I will suggest to see a board certified plasticsurgeon for a thorough evaluation. He willdirect you to the best way to approach yourconcerns.Best wishes

Mitesh Kapadia, MD, PhD · Answer

It looks like you have an early festoon forming. This problem is notoriously difficult to treat, but adding some filler around the festoon should help make it less noticeable. See a doctor who is experienced with treatment of this condition.

Luis A. Cenedese, MD, FACS · Answer

Whatever these are called the bags under the eyelids may be improved with fat dissolution, microliposuction, a cheek lift from inside the eyelid.  Fillers or fat injection into the groove below the eyelids are good options.Please use this information when consulting in person with an experieced Board Certified Plastic Surgeon.

Are these malar bags, mounds or festoons? And if so how can I get rid of them? (photos)

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