Is it malar edema or malar bags? (Photo)

This mid cheek groove is related to the soft tissue of the cheek and a combination of treatments may be used to address it. Removal of the three lower orbital fat pads during lower blepharoplasty will not worsen the cheek, however it will not improve it either. The mid cheek groove is often caused by volume loss in the area from either weight loss or sagging of the cheek tissue. Replacing volume with platelet rich fibrin, fat graft, hyaluronic acid fillers, or sub-malar implants can help. In some cases, a midface lift is helpful. In mild cases, surgical grade laser (Sciton Erbium YAG) or a series of radiofrequency microneedling treatments (Morpheus) can tighten up the skin enough. Any laser or radiofrequency microneedling should be done prior to hyaluronic acid filler treatments since the energy from those treatments can partially dissolve the filler. An in-person consultation with a facial plastic surgeon will allow the best evaluation of your anatomy to guide your care (i.e. evaluation of skin and soft tissue mobility and elasticity).

Mela Adema seems to be a real thing that some people develop. We don’t have a good understanding of what causes it or why some individuals have it. There are many contributing factors to how this area appears. The area is fairly complex and there are many different variables to take the consideration. Mailer and the amount is typically fairly uncommon in young individuals. Facial aesthetics is primarily based and facial bone structure, and this determines how soft tissues drape the face.
Value and restoration in the tear trough may be a reasonable treatment option for you. This type of work is not always easy in finding the right provider is usually the most important variable.
Best,
Mats Hagstrom, MD