Malar bags at young age? (Photo)

Question

I have horizontal lines across both of my cheeks. They fluctuate a bit in severity. They don't connect with my tear trough lines and instead start a couple centimeters below them. I've seen online that these may be malar bags, but I'm 18 and apparently it is not common for younger people to have them. What could be the cause and solution for these?

Trevor M. Born, MD · Answer

Dear blahblah3890Thank you for your question and photos!  The shape/contour that you see is not uncommon.  It is thought to arise from sluggish lymphatics around the eye.  Commonly it runs in a family.  There is no great treatment for this. A caution is that fillers can make this worse.With Warm RegardsTrevor M Born MD

Jonathan Kulbersh, MD · Answer

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift 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. Cost will vary and can be discussed at your consultation.
I hope this helps!

Jason Emer, MD · Answer

I suggesting seeing an expert. Bags can be treated surgically or with fillers.  But lasers, microneedling and skin tightening all help wrinkles and laxity.  Best, Dr. Emer.

Shaun Patel, MD · Answer

Unfortunately, this swelling around the eyes is sometime seen and probably due to poor lymphatic drainage. I find that not much helps with this. Certain eye creams may help with the swelling. Avoiding salty foods and alcohol can help as well. Filler however may make the situation worse.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  I do see the depression that you mention but I would not call it a malar lying or festoon at this early stage.  If you choose correction than dermal fillers not surgery would be her best option however and in person examination by a board certified plastic surgeon for proper advice is recommended.

Malar bags at young age? (Photo)

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