Is this malar bag on the right side? (photos)

Question

Hello. I have had my tear troughs done a few times an it never really corrected the right side. The last time I had it done was 6 months ago. The left side still looks good but the right side was always far from perfect and keeps getting worse. What are my options?

Adam Scheiner, MD · Answer

Dear Sampa71,It appears you have festoons/ malar mounds which are being exacerbated by the filler in the lower lid region. Best option would be dissolve the filler first and then assess the condition of the festoon/ malar mound. Then if they are still present, there are treatment options available. I've had success using lasers to tighten the skin causing lower eyelid festoons and malar mounds.I'll include a link below.I hope this was helpful.

Jonathan Kulbersh, MD · Answer

Everyone has some asymmetries. 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.
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. 
I hope this helps!

Joelle Rogal, MD · Answer

It is a little difficult to tell from the photo, but it looks like you may have some swelling of a malar bag on the right side.  I would recommend having the filler dissolved (with hyaluronidase) and then starting over.  Because fillers absorb water, they have a tendency to make malar bags worse in some patients.

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Is this malar bag on the right side? (photos)

Answers (4)

More Eyelid Surgery Questions

How much is it to get milia removed? (Photo)

I suffer from slightly hooded eyes and hear the Fibroblast treatment is good in this area. Advice?

5 weeks post blepharoplasty, do you think this double fold will resolve in time? (photos)

Low eyebrow and hooded eyelid, especially in the morning. What is it? (photo)

Ptosis correction technique most likely to drop the eyebrows?

One eye appears to be a lot bigger than the other eye. What do you think the problem is? (Photo)

WE SEND PRETTY
EMAILS