I have bags that sit on the tops of my cheeks not directly under the eyes but is there any way to fix this?! (photo)

It is worse in the mornings

Doctor Answers 6

Eyelid Festoons and Malar Mounds

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Dear Erin,

It appears you may have eyelid festoons and malar mounds. These can wax and wane and are often related to past sun damage in your life. 

The best treatment for resolving these are techniques to improve the skin quality in this region.

I've had success using lasers to tighten skin in this area.

I'll include a video below. I hope this was helpful. 

Tampa Oculoplastic Surgeon
4.4 out of 5 stars 39 reviews

Under eye area

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There are options available to you depending on how aggressive you would like to be in your approach.  You can consider a lower blepharoplasty to help improve this area.  A non surgical approach would be to use fillers to help contour the area.  Visit with a plastic surgeon in your area to learn more about these procedures.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

I have bags that sit on the tops of my cheeks not directly under the eyes but is there any way to fix this

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I think the best option for you at this age is to use a filler in the malar crease to hide the line of demarcation and allow it to look smoother.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews


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Thank you for your photo. You have festoons which are just below your eyelid. These areas still remain a challenge to fully resolve due to the tendency for that area to recollect fluid and stretch overtime. I have found that the most consistent improvements come with an extended lower blepharoplasty or lower eyelid lift which releases the ligaments tethering back the skin and causing the lines in that area. It is best to have an in-office examination to determine the safest and most effective treatment for your particular festoons. There are some stand-out plastic surgeons in San Diego who specialize in this type of procedure who may be more local to you. Hope this helps!

Johnson C. Lee, MD Plastic Surgery

Johnson C. Lee, MD
Beverly Hills Physician
5.0 out of 5 stars 17 reviews

Lower lid fullness

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You have what I would call festoons or malar bags. There are a number of solutions to address this condition, from surgical tightening, to dermal fillers, to cauterizing deep tissue, to C02 laser. I would encourage you to consider C02 laser first, as it is the least invasive and easiest to do.

Daniel Lensink, MD
Redding Oculoplastic Surgeon
5.0 out of 5 stars 4 reviews

Totally fixable--Malar Bags and Festoons Treatment: lasers, fillers, peels

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Lasers, fillers, and peels work best in this area.  I suggest seeing an expert for a formal evaluation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.