63, is there something that can help eye bags/festoons/malar area? (Photos)

Question

I am 63. In my mid 50s I noticed bagging under my eyes. A transconjuctal bleph was suggested to remove fat and improve the area. After the surgery the dr said "Whoops-there was no fat to remove must be swelling" and that was that. This really ruins my confidence and I’m embarassed to smile. I have these malar/festoons which I know are hard to treat. Sometimes it looks like I have 4 cheeks I don’t do fillers - is there something that can help?

C. Blake Perry, MD · Answer

Festoons are a tough entity to treat. In my hands, the best option is an extended lower lid blepharoplasty and aggressive laser resurfacing. This surgery essentially gives you a cheek lift and tightens the muscle under the eye. You really need a in person consultation to discuss. Best to see an eyelid expert.

Lawrence Kass, MD · Answer

I am sorry that you had to have lower eyelid surgery only to find that this did not improve your problem.  Sometimes, this might even make things worse!  There are no great or easy treatments for malar bags such as yours.  Nonsurgical options might include hyaluronidase, doxycycline injection, radiofrequency microneedling.  I would avoid fillers and fat transfer and thread lifting.  If everything else fails, the good news is that there are surgical options available which may be very helpful when done by experienced surgeons with these techniques.

63, is there something that can help eye bags/festoons/malar area? (Photos)

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63, is there something that can help eye bags/festoons/malar area? (Photos)

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.