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Thank you for the question and the photos. In my practice, difficult malar edema and puffiness is addressed with a radiofrequency heat device. The ThermiRF is used in two different forms -- as a topical, through the skin application of heat (ThermiSmooth) and as an injectable, micro-invasive delivery (ThermiTight). Depending on the severity, one or both of these may be used. This is a great way of causing contracture of the puffy tissues, and avoids a lot of needle sticks with other treatments.
Malar Bags are also called festoons. Non surgical treatmente include injection with Fluorouracil/Kenalog or Deoxycholase. Several injections with filler surrounding the bags may correct the condition. Surgical excision or microliposuction are options.Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.
Hello Mother Nature is usually a brilliant surgeon. Small gaps like this are not uncommon after upper eyelid surgery and generally heal quite well if you keep the area clean and moist and scrupulously protect it from the sun. Please avoid pulling up on the skin as you are doing...
It depends on if you have health insurance and your physician participates. Since you are in Philippines it is hard to answer that question. If it is payment out of pocket, it will vary per physician/office. Good luck.
These small milia can be permanently removed with focused laser, a very quick and easy procedure performed in office with only topical anesthesia. New milia could form in new locations. Changing your skin are could help prevent new milia.
Problems with eyelid position such as pulling away from the eye or pulling down can occur to a variable degree after lower blepharoplasty especially during the first three weeks where healing and swelling are taking place. It occurs more commonly towards the outer corner of the eye. It is my...
Agree with Dr. Steinsapir's comments. Everyone is born with asymmetries of the face caused by unequal bony and soft tissue. As we age, we lose facial volume, and asymmetries become more pronounced- especially around the eyes. In your case, we note bony socket asymmetry as well as brow, cheek and...
Typically eyelid surgery has no relationship to the atrophy of the cheek area. Atrophy is caused by factors such as aging, genetics, lifestyle, and hormonal changes. There are some procedures where fat can be repositioned in the malar area through the lower eyelid incision, but this is not as...
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