Under eye puffiness & blue-ish hues - malar bags? What's going on? (Photos)

Question

I haven't had under eye filler for quite some time, and never had this issue until about January. I am wondering if these are Malar Bags? I have these pretty much all day.. I drink lots of water, exercise regularly, limit salt intake.. I don't believe it to be the under eye filler from awhile ago, but I do often get botox on my forehead often enough. Could this be a result from it?

Ralph Trey Aquadro, MD · Answer

This is most likely from filler.  I would find an experienced physician injector who can diagnose and treat this. Should be a relatively simple procedure to fix it.  Best of luck.

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Nelson Lee Novick, MD · Answer

I have written about this condition many times before. It may well be, Under-Eye Puffy Pillows, or lymphedema (lymphatic obstruction), which can follow--even long afterward--the use of the use of an inappropriate HA filler for the tear troughs and/or too superficial injection of the filler in the delicate under eye tissues. It may occur long after the treatments and is typically very difficult to treat. I have had gratifying results treating patients who have come to me with this problem using an algorithm of varying combinations, concentrations, and amounts of intralesional anti-inflammatory agents. Make sure to consult with a board certified cosmetic dermatologist with experience with this issue. Hope this helps.

Eric M. Joseph, MD · Answer

In general, undereye HA fillers may last years, and a puffy bluish tint may be the Tyndall effect. That’s associated with HA below thin eyelid skin. You may consider getting the HA dissolved.
A Consultation with a reputable dermatologist or facial plastic surgeon should be helpful. Good luck! Dr Joseph

Oakville Plastic Surgery &amp; Medspa · Answer

It is possible for old filler to cause swelling. Fortunately, it is easily treatable with a very gentle amount of product that can be placed very shallow to settle down any surface filler that may be the cause this problem. Good luck!!

Under eye puffiness & blue-ish hues - malar bags? What's going on? (Photos)

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Answer: Under eye puffiness & blue-ish hues - malar bags? What's going on?

Answer: Under eye puffiness & blue-ish hues - malar bags? What's going on?

Answer: Under Eye Puffiness

Answer: Under Eye Puffiness

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Under eye puffiness & blue-ish hues - malar bags? What's going on? (Photos)

Answers (7)

Answer: Under eye puffiness & blue-ish hues - malar bags? What's going on?

Answer: Under eye puffiness & blue-ish hues - malar bags? What's going on?

Answer: Under Eye Puffiness

Answer: Under Eye Puffiness

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Recommended reading

Everything you need to know about Dermal Fillers

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