Is there an update on festoon/malar bag removal?

This is very hard to treat as they are genetic.  Fillers can camouflage them, lasers help reduce them but they always will be there.  Surgery can sometimes make worse.  Long term RF treatments like exilis or venus legacy help.  Please see an expert.  Best, Dr. Emer.

Hello Lrose.  You are an excellent candidate for injections and Restylane Lyft (Perlane) or Radiesse would be great products in your situation.  To see a photo of a similar patient, click the before and after photos link below.

You may find the best result from a combination of treatments.  Fillers can be used to help disguise the irregularities.  Sometimes lasers can be used as well to improve the skin tone and texture.  Visit with a board certified plastic surgeon in your area to learn more.

You may be able to avoid a surgery by just filling in the groove that is extending down your cheek; we call this the nasojugal groove.