I developed malar edema about 14 months ago after Botox injections in my crow's feet. Also had tiny bit of filler in cheeks in 2019. Recently, I started consulting plastic surgeons . Most suggest a preperiosteal or subperiosteal midfacelift & temple lift as a solution. Some are reluctant to operate as I still have firm skin/tissue. One surgeon recommended doxycycline injections. But these injections cause sclerosis (scarring???) Would sclerosis interfere with surgery later on?