Hi, I saw a recently published article in "Aesthetic Plastic Surgery" where a doctor used a surgical approach in combination with Kybella injections to remove malar bags. I notice a lot of doctors recommend against both surgery and Kybella against this, yet it's the only case I've seen of this condition being treated satisfactorily. Could this finally be an option for treating malar bags, or what do you think the future holds for people with this problem? Fillers did not help me.
Answer: Malar Mounds and Eyelid Festoons Dear NYC,Festoons and Malar mounds are swollens areas on the cheek and lower lid region. They are often related to past sun exposure and tend to appear in those with lighter skin types. They can make a person appear tired sick and older even when they feel fine inside. As described below by other practitioners, this is a difficult condition to treat but I've had success using lasers to improve Malar mounds and eyelid festoons.I'll include a link below. I hope this was helpful.
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Answer: Malar Mounds and Eyelid Festoons Dear NYC,Festoons and Malar mounds are swollens areas on the cheek and lower lid region. They are often related to past sun exposure and tend to appear in those with lighter skin types. They can make a person appear tired sick and older even when they feel fine inside. As described below by other practitioners, this is a difficult condition to treat but I've had success using lasers to improve Malar mounds and eyelid festoons.I'll include a link below. I hope this was helpful.
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June 28, 2018
Answer: Kybella for malar bags? Surgery or fillers I don't recommend Kybella for this. Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).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. Lasers can be used in combination to give improvement.
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June 28, 2018
Answer: Kybella for malar bags? Surgery or fillers I don't recommend Kybella for this. Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).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. Lasers can be used in combination to give improvement.
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June 25, 2018
Answer: Malar Bags/Festoons are Genetic -- Laser (Fraxel, co2, erbium), microneedling/PRP, fillers, RF (venus legacy, exilis ultra) malar bags are genetic and lymphatic, kybella rarely helps with this although i have had success with agressive lasers, surgery and/or mesotherapy here. I suggest you see an expert. Best, Dr. Emer.
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June 25, 2018
Answer: Malar Bags/Festoons are Genetic -- Laser (Fraxel, co2, erbium), microneedling/PRP, fillers, RF (venus legacy, exilis ultra) malar bags are genetic and lymphatic, kybella rarely helps with this although i have had success with agressive lasers, surgery and/or mesotherapy here. I suggest you see an expert. Best, Dr. Emer.
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June 23, 2018
Answer: You have to be careful of what you read and who you go to. You are in the midst of a cosmetic surgery crisis due to bad treatment and bad advice. So far, at least reading your posts, you have not done anything that is irreversible. You got a bad under eye treatement and then an inadequate enzyme service. On top of this you have a midcheek groove. The improperly placed fillers need to be throughly removed. This has not happened and even though you had the fillers a couple of years ago, the Restylane is still likely present at the top of your cheeks. Injecting Kybella in to this glide area and the doubling down with surgery is a good way to get permanently wrecked. Kybella is bad, unpredictable treatment. No one can foresee what will happen if this is injected into your cheek. A doctor who does this is a bad doctor in my opinion. Don’t do this to yourself. Start with a complete removal of the old Restylane. Hyaluronidase will not damage your natural hyaluronic acid.
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June 23, 2018
Answer: You have to be careful of what you read and who you go to. You are in the midst of a cosmetic surgery crisis due to bad treatment and bad advice. So far, at least reading your posts, you have not done anything that is irreversible. You got a bad under eye treatement and then an inadequate enzyme service. On top of this you have a midcheek groove. The improperly placed fillers need to be throughly removed. This has not happened and even though you had the fillers a couple of years ago, the Restylane is still likely present at the top of your cheeks. Injecting Kybella in to this glide area and the doubling down with surgery is a good way to get permanently wrecked. Kybella is bad, unpredictable treatment. No one can foresee what will happen if this is injected into your cheek. A doctor who does this is a bad doctor in my opinion. Don’t do this to yourself. Start with a complete removal of the old Restylane. Hyaluronidase will not damage your natural hyaluronic acid.
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September 26, 2018
Answer: Malar Bags Malar bags are notoriously challenging to correct with surgery. An extended blepharoplasty may correct most of the eyelid and malar bags. Residual swelling of the area may be improved with Kybella, platelet rich plasma PRP and other anti-inflammatory injections.Kybella in the form of Phosphatydly Cholase/Deoxycholic acid has been successfully used to diminish under eyelid bags for years. Injection is associated with significant temporary swelling. Results are published in medical journals. Patients typically prefer other options as they result in less swelling.Please consult in person with an exerienced Board Certified Plastic Surgeon prior to making treatment decisions.
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September 26, 2018
Answer: Malar Bags Malar bags are notoriously challenging to correct with surgery. An extended blepharoplasty may correct most of the eyelid and malar bags. Residual swelling of the area may be improved with Kybella, platelet rich plasma PRP and other anti-inflammatory injections.Kybella in the form of Phosphatydly Cholase/Deoxycholic acid has been successfully used to diminish under eyelid bags for years. Injection is associated with significant temporary swelling. Results are published in medical journals. Patients typically prefer other options as they result in less swelling.Please consult in person with an exerienced Board Certified Plastic Surgeon prior to making treatment decisions.
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