Malar edema surgery. Looks like a malar groove to me, more than a malar bag.

Malar edema surgery 14 In The surgery is quite a bit ago but I see lots of posts asking for advice on what to do for a lower bags or loose skin. One such These preliminary results suggest that intralesional injections of doxycycline hyclate at a concentration of 10 mg/ml may be an effective treatment option for cosmetically significant lower eyelid festoons and malar edema. Although they have an excellent safety profile, filler-related issues such as visibility/palpability, contour abnormalities, malar edema, and blue-gray dyschromia can occur. About 10 mL of 1% lidocaine with 1:100,000 epinephrine solution is Aug 27, 2019 · Management of malar edema, malar bags, and festoons represent one of the most challenging aspects of lower eyelid and midface rejuvenation. 12,14 Superficial cutaneous changes consistent with xanthelasma Mar 17, 2011 · Malar mounds may be accentuated by chronic lid edema, with the development from malar edema to malar mounds and finally to malar festoons. 14 Malar edema is difficult to treat, but initial recommendations include lymphatic drainage and massage, with the head elevated at night. The malar area refers to the cheek, and edema of the cheek gives rise to swelling at the junction of the lid and the cheek. Jun 5, 2016 · The eyeball fat is soft and is above the lower bony margin of the eye socket. In-office treatments tailored to individual histories and habits also play a crucial role in managing malar edema, aiming to reduce fluid retention and improve the condition to the greatest extent possible. This malar edema can last for many weeks. doi: 10. Not sure if it’s malar edma, malar festoons, or tear troughs. Mar 17, 2011 · Background Malar mounds may be accentuated by chronic lid edema, with the development from malar edema to malar mounds and finally to malar festoons. Downloaded from https://academic. Apr 1, 2024 · Injection with triamcinolone appears to be a safe and effective option for the management of malar edema following hyaluronic acid filler injection. Patients with malar edema should be aware that it can be a persistent condition meaning it can require multiple operations and treatments. We understand the anguish caused by the signs of ageing. The polish dr recommended kinesiotape (which helps temporarily) and also doxycycline injections. However, malar edema is also a known complication of facial aesthetic procedures, especially facial fillers used in the under eye and cheek region. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and fest … May 2, 2014 · On the other hand, malar bags are the result of fluid over the most prominent area of the cheek bones. Festoons are puffy, bag-like formations on the lower eyelids and cheeks, while malar edema is a more generalized swelling in the same area. The patient is a fifty-year-old man who received three different surgery procedures for an improvement in projection and reshaping of the malar areas. However, sometimes surgeons add a bit of a midface lift with the lower eyelid surgery and this could account for a more persistent swelling. Next step is getting my eye bags surgically removed (lower bleph). Out of 89 patients who underwent surgery, only around 15% had persistent malar edema . Festoon & Malar Bag Treatments at Centre for Surgery. Methods Twelve Jan 21, 2023 · Also, some of these treatments may have side effects such as redness, swelling, and pain, and they may require multiple sessions to achieve the desired results. The malar septum: The anatomic basis of malar mounds and malar edema. Cole will be discussing Malar Bags (or Malar Edema), their causes, and treatments. Apr 29, 2011 · Swelling that occurs in the face after lower eyelid surgery often accumulates in the lower eyelid region and can take a while to resolve. Jun 18, 2015 · Two hours after the surgery, the patient complained of sudden malar swelling. consecutive patients with malar edema and/or festoons injected with doxycycline hyclate at a concentration of 10 mg/ml. This article reviews the anatomic basis for malar edema, relates it to filler injection technique, and presents the author's preferred method of injection to help ensure avoidance of this adverse event. Dec 27, 2024 · If done correctly, the surgery should not cause malar bags, which is a concern among patients. Malar edema can be treated with a goal of improvement, but there is no cure as this is a physiological condition where the body functions in a preset way. It is a very common problem and many people develop malar edema simply as a feature of facial aging. The authors are to be commended for their comprehensive literature review of this advanced topic as well as their discussion of various minimally invasive and open techniques to treat patients with this complex deformity. Managing malar bags proves problematic due to diverse pathophysiology, inconsistent terminology, and variable severity concerning patients’ malar edema, mounds, and festoons. I recommend very diluted injections every 4-6 weeks for 2 to 3 sessions. Non-surgical treatments often yield unsatisfactory results. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. I still have pockets of swelling on the bottom of my lower lids right lid worse, edema settled in the dreaded malar area. Jan 13, 2025 · Festoons and malar edema: Swelling or prominent folds on the cheekbone or lower eyelid, often due to fluid x Trusted Source Malar Mounds and Festoons: Review of Current Management Aesthetic Surgery Journal Go to Source retention, dermal x Trusted Source Avoiding Malar Edema During Midface/Cheek Augmentation with Dermal Fillers Journal of Some patients will have this sort of edema after a lower eyelid bleph. Malar edema denotes the presence of fluid over the malar eminence, while malar mound refers to a soft tissue prominence, typically involving the orbicularis muscle or fat, over the same area. Dec 3, 2023 · The authors in that study speculate that this edema might be related to lymphedema, and that patients with pre-existing malar triangle edema were at a higher risk for developing this complication. Nov 20, 2017 · Patients presenting for periorbital rejuvenation commonly complain of eyelid bags with a resulting tired look. Anterior view of the malar and zygomatic regions. No nonsurgical treatment currently meets these criteria, and surgical treatments have significant limitations. 2. Feb 17, 2023 · Eyelid/malar edema 21, 42: No history of fluid retention; no eyelid or malar edema: History of fluid retention; eyelid or malar edema: Concurrent deformities 21, 42: Mild-to-no hyperpigmentation (darkening or coloration that does not contribute to the depth or extension of the infraorbital hollow) and rhytids The malar edema is a fluid accumulation on the malar eminence, the malar bag is represented by chronic edema of permanent soft parts and the festoons are an accumulation of cascading skin 3. Ultrasound plays a key role in treating malar edema by: Non-Invasive Monitoring: Ultrasound enables Dr. : (1) malar edema, (2) malar mounds, and (3) festoons (Fig. Jan 1, 1997 · The permeability characteristics of the malar septum suggest that, at least in some persons, malar mounds may be accentuated by chronic lower eyelid edema, and these characteristics may imply a time course in the progressive development from malar edema to malar mounds and, ultimately, to malar festoons. If you did not have malar edema before the surgery, it should resolve. This includes malar edema and festoons as well. Central Expwy. Among these are festoons, malar mounds, and malar bags, which can affect one’s appearance and self-confidence. Asymmetry is another common complication of midface elevation surgery, which may require further surgical correction in significant cases. “About 4 years ago, at age 41, I began to develop the most difficult kind of festoons – some loose skin, but also severe malar/cheek edema. Patients were excluded from the final analysis if they received an alternate dose Feb 11, 2011 · Female, 38. No clear nomenclature exists to describe these lesions. They are a bit different from puffiness, which usually appears directly under the lower eyelids. Jul 25, 2016 · By the looks of your photo, I'm guessing that you have a little bit of residual swelling that will improve over the next month or two. Festoons of orbicularis muscle as a cause of baggy eyelids. Dec 17, 2018 · This region is particularly susceptible to adverse effects due to compromised lymphatic drainage and effects due to the impermeable barrier of the malar septum and is thus prone to fluid accumulation. D. Festoons and malar mounds have been a frustration for surgeons for many years. Both filler and bilateral subcision, not to mention all the skin care and peels. Fillers for malar bags are injections that can plump up the area, reducing the appearance of malar bags. “Malar bags” is a broad anatomical umbrella term used to describe malar oedema, malar mounds and festoons that clinically appear as water-logged swollen “saddle bags” at the junction of the lower eyelid and upper cheek. E. Another attachment related to malar edema is the “malar septum” extending from the arcus marginalis to the midface skin. The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. 10. Managing this condition is crucial for recovery. At Tampa Bay Cosmetic Surgery Center, we specialize in addressing these issues with advanced techniques tailored to individual needs. This second area needs May 10, 2022 · What are festoons and malar bags? Swollen and puffy bags under the eyes, known as malar bags or malar mounds, are a common feature of ageing which can make the face appear older and more tired. I was so self conscious and obsessed about it. Aesthetic Surg J. Malar edema denotes the presence of fluid over the By leaving the malar septum intact, the amount of postoperative edema and ecchymosis is less than formerly associated with the dissection over the infraorbital orbicularis. In addition, volume loss occurs in the face. Figure 1 - Anatomy of the periorbital region. This is present to a greater degree in the older patient. Introduction Tear-through deformities can be a detectable sign of facial aging. Injection of fillers may cause edema by either augmenting the impermeable barrier of the malar septum (impeding lymphatic drainage) or bydirect pressure on the lymphatics when injection volumes are too large . I would call this "malar edema" but that only means cheek swelling. The swelling was associated with air pockets at the alar base and in the angulus oculi medialis region and subcutaneous malar tissue. The ef cacy of treat- Aesthetic Surgery Journal Open Forum. The anatomic basis of eyelid bags is multifactorial, where orbital fat prolapse, eyelid fluid, tear trough depression, loss of skin elasticity, orbicularis prominence, and malar mounds and festoons can each contribute to their development. Future prospective studies with increased patient numbers, increasing concent … Dec 1, 2024 · This swelling is usually diffuse and minimally inflamed and could spread out to the malar area outside the region of injection (Figure 1). May 31, 2023 · Background Malar mounds (congenital) and festoons (acquired) are persistent puffiness in the prezygomatic space between the orbicularis retaining ligament (ORL) and zygomatico-cutaneous ligament (ZCL). Aesthet Surg J. The terminology and classification of these conditions vary, hindering test is done to differentiate between pitting edema in malar edema and non-pitting edema in malar mounds (Fig. This community is for anyone who has malar bags and is looking to discuss treatments, or really anything about malar bags. Three recent studies focused on the use of antimicrobials in the treatment of malar mounds and festoons. oup Malar bags are swellings or pouches that can form under the lower eyelids. 12,14 Superficial cutaneous changes consistent with xanthelasma The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. Griepentrog et al 16 reviewed the charts of 51 patients who underwent periocular lower eyelid HA filler injection and noted 12 patients (∼24%) who The anatomy of malar mounds and malar edema is evaluated in a series of 18 fresh cadaver dissections. After years of having them, the line is more obvious on me. Contact Our Location Dallas Plastic Surgery Institute 9101 N. 827. The malar edema is a fluid accumulation on the malar eminence, the malar bag is represented by chronic edema of permanent soft parts and the festoons are an accumulation of cascading skin 3. Malar edema is the . 19 In a retrospective study of 51 patients who received placement of an HA gel to the infraorbital hollows, 12 patients had prolonged periorbital edema, which lasted an average of 5. PEEK has been chosen but rarely described in literature for the reconstruction of the malar regions and is an innovative solution in the field of facial aesthetic surgery. Jun 11, 2014 · I am 4 weeks post-facelift with fat transfer under the eyes in the area between where under-eye skin meets upper-cheek skin (malar area?) The swelling, for the most part, has gone away. 18,20 Another antibiotic in the tetracycline family, doxycycline, was used at a concentration of 10 mg/mL to Dec 17, 2010 · Swelling following surgery does settle so malar bags from swelling typically resolve. 1093/asj/sjz180. Aug 8, 2024 · Festoons and malar edema are often used interchangeably, but they refer to different conditions. 72 mL. Kpodzo and colleagues propose a classification using three specific terms: malar edema, malar mound, and fes-toons. In severe Dr. 🌟. At Centre for Surgery, we believe in delivering not just treatments, but transformations. I have had these lines ever since I was born. 17:11-7. Feb 17, 2020 · To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. Recently, tetracycline has been shown to be an effective, low-risk, non-surgical approach for managing festoons. Malar edema: is defined as clinically significant swelling in the infraorbital region persisting for 1 month or more. Malar edema refers to fluid over the ma-lar eminence. 12, 14 Superficial cutaneous changes consistent with Festoon Excision is a highly effective solution for individuals who have unresolving malar bags (swelling at the eyelid/cheek junction) and are looking for a highly predictable and effective approach to rejuvenating the appearance of their lower eyelids. After determining the source of your malar bags, Dr. Prevention Strategies for […] Nov 8, 2023 · Concomitant dermatochalasis and other facial aging processes such as malar edema, and malar mounds may be seen together with festoons [3, 4]. Other influences are sinus congestion, allergies, fatigue and high salt in your diet among other things. The eyelids are susceptible to intermittent swelling after surgery. At this point, your only real option to to allow the lower eyelid to heal. No nonsurgical treatment cu … To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. Jan 5, 2018 · Malar Edema. 4 months. 2014 May 30. It’s genetic in my family. Jan 24, 2024 · Pessa JE, Garza JR. The puffiness may occur above or below the eyes and can have many causes. They can be an excess fluid collection or fluid accumulation that creates mild swelling, skin and fat compartments along with skin laxity. Oct 19, 2020 · But the malar edema swelling started due to my fillers and the provider I am now seeing recommended I have the filler removed. I personally have had these grooves since I was a toddler. Festoons, also known as malar bags, are one of the most difficult cosmetic concerns to treat on the face. Oct 1, 2024 · Introduction The pursuit of periorbital rejuvenation to counteract signs of aging is a focal point in cosmetic surgery, with eyelid surgery being a prominent choice among patients. 6, 7 The role of the positive airway pressure device is highlighted by the Jan 14, 2022 · New York plastic surgeon Mokhtar Asaadi, MD says that every plastic surgery patient is different, and their needs are varied, malar bags and malar edema, what is going to give the best Jan 1, 1997 · After facial surgery, swelling and edema mimicking malar mounds may develop in some patients (Figure 1, C). I’m having a consultation with a spanish doctor who is an expert on malar edema (she performs malar lift/soof lift through a lateral canthotomy), and with a polish dr that I consulted 3 months ago. They remain a difficult entity to treat. While distinctions between malar mounds, malar edema, and festoons have been suggested based on the presence or lack of fluid accumulation [ 1 ], it is likely that all represent a spectrum of the same underlying process over the malar eminence. Several surgical and nonsurgical treatments Malar edema is a serious complication that has been reported with all fillers when injected into the infraorbital hollow and tear troughs . Chronic malar edema from injected HA that has persisted for many years may be less likely to be completely reversed because of the creation of large potential spaces that do not significantly diminish with treatment. These unsightly bags or swelling below the lower eyelids and on the cheeks can make a person look tired, aged, and can even obstruct vision in severe cases. Oct 8, 2018 · One patient continued to have persistent mild malar edema (similar to what was seen preoperatively) and was last seen 12 months postsurgery. 18-20 In 2 of them, the intralesional injection of tetracycline 2% showed improvement in the contour to correct the festoons. 14 The edema may accentuate upon waking up and then slightly improve throughout the day, but it does not completely disappear without proper treatment. Nearly half of these patients additionally have malar edema, malar mounds, or festoons just below the fatty “bags”. The ultimate goal is to effectively improve these with a method that is minimally invasive and with the least recovery time. Had a mid anterior face lift and a lower lid pinch bleph (no fat removed just small amount of skin). Fishman to monitor swelling without additional surgery. These include laser resurfacing, radiofrequency treatment, extended blepharoplasty, midface lift, direct excision, and lid anchoring What Are Malar Festoons? While malar festoons and eye bags can often be mistaken for one another, several differences make them distinct. However, the management of Feb 7, 2024 · While there is no definitive cure for this physiological condition, understanding its causes and implementing lifestyle changes can mitigate its appearance. Dec 31, 2023 · And blepharoplasty is expensive, aggressive surgery that engenders significant post-treatment downtime and does not address the volume deficit issue. Straka's IG showing a repair of a situation very similar to mine and went for a consult. Emphysema appeared after the patient blew his nose. May 4, 2019 · This scoping review updates the audience on the anatomy, pathophysiology, and evaluation of malar bags, in addition to the latest literature regarding minimally invasive intervention and surgical refinements. Feb 8, 2017 · Sagging of the skin and subcutaneous structures is related to the aging changes in these attachments. PURPOSE To investigate the safety and efficacy of direct, intralesional doxycycline hyclate injection for improving the appearance of cosmetically significant lower eyelid Oct 15, 2022 · This case demonstrates persistent periorbital edema following MMS and primary repair because of exacerbation of preexisting festooning in the setting of compression from his positive airway pressure device, which disrupted lymphatic clearance of surgery-related edema. Whilst festoons and malar oedema are fairly common. Management of Malar Mounds and Festoons in Lower Eyelid Blepharoplasty The majority of patients presenting with lower eyelid esthetic complaints are concerned about their fatty “bags” in the eyelids. Filler/Surgery Related – Swelling & discoloration. Festoons, also known as malar edema or cheek bags, can be a cause of concern for both individuals from a cosmetic perspective and medical professionals. Mid-Facelift Several terms are used to describe festoons, including malar mounds, malar edema, saddle bags, fluid bags, palpebral bags, and lower eyelid bags. 1997. This patient also had persistent edema prior to surgery. 1) . A festoon and a malar bag (or mound) appear under the eyes, below the lower eyelid, and on the cheek. Malar bags are not easy to treat, so make sure to get in touch with a board-certified specialist plastic surgeon. Feb 27, 2024 · Puffy eyes, or periorbital edema, refers to swelling around the eyes. Of particular interest, two of the patients that had prolonged edema postoperatively had complete resolution of their edema prior to surgery. Malar Festoons are a concern in which the lower eyelid appears damaged, causing folds that can result in mounds on the tops of the cheeks. Surgery is performed under general anesthesia. Kpodzo and colleagues3 suggest using 3 distinct terms: malar edema, malar mound, and festoons. The patient underwent bilateral upper eyelid surgery. Malar swelling or bags and festooning(a particular compartment of the cheek which is over the bone) is an evolving and difficult problem. The Role of Gravity in Periorbital and Midfacial Aging. Thanks to the initial work of Dr. Parsa online so I scheduled a consultation and a few weeks later had my revision surgery and I am so HAPPY with the results! He is a great Dr. Effective Treatment for Festoons and Malar Mounds. Anatomy and volumizing injections. Aesthet Surg J 1997;17(1): 11–17 15 Andre P, Azib N, Berros P, et al. Surgery involves removing excess skin and fat around the affected area, which may require a recovery period. Anatomic Basis for Malar Edema Malar edema is an adverse event arising from filler injections of the central midface to correct the infraorbital hollow and tear Jan 24, 2024 · A retrospective study by Godfrey et al indicated that doxycycline hyclate injections (10 mg/mL) can significantly reduce lower eyelid festoons and malar edema. Jan 15, 2014 · Since Furnas first described "festoons" in 1978, variable terminology has been employed to describe swelling or 3,4 Because all 3 anomalies cause malar bulges or bags, we propose that "malar bags malar edema. May 3, 2019 · Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery 40(3) 40(3) DOI:10. It is useful to consider three entities within the spectrum of festoons, as proposed by Kpodzo et al. Feb 17, 2020 · Commentary on: Updated Management of Malar Edema, Mounds, and Festoons: A Systematic Review Aesthet Surg J . I tried fillers and got malar edema that didn't subside for a month. In fact, many people aren’t familiar with the term malar festoons. My treatment plan included three rounds of Morpheus8, 6 weeks apart, to really improve my malar edema before surgery but I’ve only had one treatment Common causes of malar edema after fillers include overfilling, injection technique, product choice, and patient factors such as allergies or underlying medical conditions. Addressing inferior blepharoplasty, especially in cases involving chronic malar edema, malar mounds, and festoons, presents unique challenges. Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. Are Malar Bags and Festoons the Same Thing? Malar bags are essentially the same thing as festoons and these terms can be used interchangeably. Fortunately Dec 3, 2023 · resolution of the intermittent eyelid and malar edema con- rmed these clinical observations. Jul 5, 2024 · This swelling is usually diffuse and minimally inflamed and could spread out to the malar area outside the region of injection . 34 (6):809-822. Some doctors excise malar bags, but malar bag excision is always associated with a scar. Sterling Baker (a person with whom I trained) and my own improvement and refinement on that work over the last decade, I now have a sophisticated, technically-challenging but effective treatment for festoons and malar mounds. Jul 1, 2024 · In the realm of cosmetic surgery, certain facial concerns can present unique challenges. Asaadi can then address the cause by either surgically removing fat deposits underneath the eye, or by releasing the ligaments of the surrounding eye muscles. This article presents the anatomic basis of malar edema and the author’s preferred injection technique to prevent this untoward event. We aim to use lifestyle modifications and in office treatments to improve the appearance of the condition and aid the body in reducing the severity. Because standard techniques do not seem effective and not specifically proposed for the treatment of malar festoons, subperiosteal vertical upper-midface lift associated with lower blepharoplasty overcomes these shortcomings. Sep 1, 2019 · These preliminary results suggest that intralesional injections of doxycycline hyclate at a concentration of 10 mg/ml may be an effective treatment option for cosmetically significant lower eyelid festoons and malar edema. Dec 27, 2024 · If done correctly, the surgery should not cause malar bags, which is a concern among patients. The basis is that fluid tends to back-up into the cheek area and stays there. Welcome to r/PlasticSurgery! This subreddit is a general hub for discussion, before and after posts, stories, experiences, and general information about cosmetic/plastic surgeries. Malar bags can develop into festoons (folds of skin, muscle and tissue) and can often cause people to lose confidence in their appearance. Malar mound refers to soft tissue prominence, usually orbicularis muscle or fat, over the malar Treating Malar Edema. Marked swelling was present from the left infraorbital region to the buccal region. Dye injection, histologic evaluation, and gross anatomic dissection are used to identify a previously unrecognized fascial structure of the lower eyelid and cheek. Since malar festoons or malar edema is due to fluid, surgical May 14, 2016 · If you did not have swelling in this area before surgery and if it is not there all the time, I suspect that it is temporary and should stabilize in time. If you had the swelling before the surgery, then it might not get better. This may occur sooner if you avoid salty foods and try a water pill (diuretic). Q5: How can I tell if I have malar edema after fillers? Symptoms of malar edema after fillers include swelling, redness, tenderness, and bruising in the cheek area. Jon A Perlman M. A prolonged period of postoperative swelling or bruising can mar the patient’s psychological experience in an otherwise technically well-performed procedure [1]. Kpodzo and colleagues 3 suggest using 3 distinct terms: malar edema, malar mound, and festoons. Malar mound is a term used to describe a chronic soft tissue swelling over the cheek. Feb 7, 2024 · While there is no definitive cure for this physiological condition, understanding its causes and implementing lifestyle changes can mitigate its appearance. In some cases of muscle laxity, a portion of the eye muscle may be removed, and if necessary, the In preparation for aesthetic surgery or procedures, time of recovery and return to normal life is often paramount in the patient’s mind. I am 8 weeks post surgery. B. However, malar bulges on the cheek itself (there is bone directly under the malar bag) are not often corrected with lower eyelid surgery. The scar heals but not always inconspicuously. 1093 to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. I tried many options to end the edema, and none worked permanently. I found this interesting study on how to correct them. A retrospective study of HA filler injection in the infraorbital region found almost 25% of the 51 patients to be developing malar edema lasting an average of 5. Should they not work, he would also perform surgery. test is done to differentiate between pitting edema in malar edema and non-pitting edema in malar mounds (Fig. Festoons are sagging skin or folds of skin at the top of the cheek. Malar festoons are also seen in a similar position 3 cm below the lateral canthus ( Figure 1, D ). However, some surgical procedures can result in damage to lower eyelid lymphatics which can prolong lower eyelid swelling and delay resolution of these bags. Introduction: Festoons, malar and eyelid edema are challenging facial cosmetic concerns with historically frustrating treatment options. You’ll usually find the swelling associated with malar bags or festoons lower down, across the top of your cheekbones. Malar edema is a particularly serious complication that has been frequently reported with all fillers when injected into the infraorbital hollow and tear troughs . • Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. Malar bags are a common symptom of midface ageing and can lead to a tired, older appearance. No idea why I have it: could be related to my (mild) Rosacea, perhaps Aug 21, 2011 · Malar swelling 4 weeks after routine lower eyelid surgery is a bit unusual. Malar edema, a swelling in the cheek area, can sometimes occur after plastic surgery. So, be cautious there, as well. MIDFACIAL VOLUME RESTORATION The malar fat pad is a discrete, triangular shaped area of thickened subcutaneous fat, based at the nasolabial fold with its apex at the malar eminence in the youthful Jan 16, 2022 · In 2016 I developed sudden malar edema post neurotoxin injections around my eyes. My surgeon said these are not malar bags and that the swelling will dissipate in time. 1 Patients with loose or excess skin, wrinkles, and excess fat may choose to combine malar bags treatment with procedures like upper eyelid surgery or fillers for unwanted wrinkles. 2020 Feb 17;40(3):259-262. Preop-erative medicines include antibiotics, 500 mg of Solume-drol IV, and 1 gram of tranexamic acid IV. Jan 16, 2024 · Festoons are also referred to as malar mounds, fluid bags, lower lid bags, malar edema, and saddle bags. Local injection site bruising [2] and resultant edema can lead to prolonged impairment of Wearing sunblock on all parts of your body exposed to sun on a daily basis prevents further sun damage to the skin and in turn prevents worsening of lower eyelid Festoons and Malar Mounds. Looks like a malar groove to me, more than a malar bag. Furnas DW. Background: Hyaluronic acid (HA) fillers are extensively used in periocular volume augmentation. Jan 16, 2024 · The superolateral cheek can have a tendency to develop festoons, which are a product of soft tissue laxity and fluid accumulation. Because standard techniques do not seem effective and not specifically proposed for the treatment of malar festoons, subperiosteal vertical upper-midface lift associated with lower blepharoplasty overcomes The phenomenon of malar edema can be explained by an understanding of the anatomy of the lower eyelid. Malar edema refers to fluid over the malar eminence. Case Presentation. About 10 mL of 1% lidocaine with 1:100,000 epinephrine solution is Malar edema is also known by the name malar bags or festoons. Pre- and postinjection photographs were reviewed and graded on a scale of 0 to 3 (0: no festoon; 1: small festoon; 2: medium festoon; 3: large festoon) by 2 masked physician observers. To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. It should gradually return to normal. Festoons are caused by lax skin and a weakened lower eyelid muscle and often begin as Malar mounds. I saw Dr. The malar septum originates from o … Malar edema is a particularly significant adverse event because it is disfiguring, poorly tolerated by patients, can persist for months, and responds minimally, if at all, to treatment. 4 injections per side, with the mean volume per injection being 0. I read great things about Dr. Mid-Facelift May 28, 2024 · Malar edema is often used to describe a fluid collection over the lid and cheek junction. 1 A. Feb 15, 2022 · Malar bags, or festoons, are a common form of under-eye swelling that many of us start to develop as we get older. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. At post-operative week 1, the edema traveled along the inferior face, resulting in increased size and prominence of the festoons. Mally P, Czyz CN, Wulc AE. 1,3,5 Tissue edema may be unilateral and quite pronounced especially with some hydrophilic hyaluronic acid dermal fillers, and practitioners must be cautious to Apr 23, 2024 · The time from initial treatment to the attempt to reverse adverse events will likely influence the outcome. Parsa gave me back my self confidence! I had surgery in August 2013 with another Dr and it left my eye oddly shaped. Treatment depends on the cause. Eleven patients (20 treatment areas) with malar edema and/or festoons underwent an average of 1. They are sometimes called tear trough deformities, periorbital puffiness, malar edema, malar mounds or secondary bags. [QxMD MEDLINE Link]. Suite 600, Dallas, TX 75231 Tel: 214. Mild festoons can often be treated with a combination of fillers to address volume loss as well as CO2 laser resurfacing and radiofrequency microneedling to address tissue laxity. 1–5 However, the timing of improvement and patient-reported subjective outcomes for esthetic use of doxycycline hyclate injections in treating lower eyelid festoons In this video, Dr. Over recent years, minimally invasive procedures such as hyaluronic acid filler injections have been shown to be effective in improving this area. Eyelid surgery itself causes some swelling and this can make the malar bag area look more swollen until the healing is complete. This paper aims to demonstrate a surgical approach for the treatment of malar bags by outlining the author's surgical technique of Festoons and malar bags are a common concern for many individuals. Several terms are used to describe festoons, including malar mounds, malar edema, saddle bags, fluid bags, palpebral bags, and lower eyelid bags. This document summarizes the latest literature on management of malar edema, mounds, and festoons. PURPOSE: Tetracycline family antibiotics have demonstrated utility as sclerosing agents for lymphatic malformations and other lesions of impaired fluid drainage, including conjunctival chemosis, eyelid festoons, and malar edema. Dec 1, 2011 · Malar edema is a particularly significant and long-lasting untoward event that is frequently reported. I thinking it’s malar edma. 🔹 Experience You Can Trust Malar Bag & Festoon Treatment. Another medical non-surgical way to somewhat reduce Malar Mounds and eyelid Festoons involves the use of medical products to improve the skin. When I smile they REALLY show up. Beyond festoons, there are other subtypes of chronic periorbital edema. study I have treated postoperative malar swelling with diluted KyBella sub dermal injections with results. Edema is commonly experienced after midface elevation surgery. In addition, surgical treatment of malar edema in patients with predisposing anatomy can be well managed. Never had fillers. Despite research in the field of oculofacial plastic surgery, festoons are challenging to treat. including malar mounds, malar edema, saddle bags, fluid bags, palpebral bags, and lower eyelid bags. Festoons are described as “cascading hammocks of lax skin and orbicularis muscle” hanging between the medial and lateral canthi [ 2 ]. Sometimes Feb 23, 2022 · Festoons are also referred to as malar mounds and malar edema. Members Online Edema can occur anywhere treatment is performed; however, the areas of the face that specifically appear to be prone to swelling are the lips, periorbital region, and malar region. They are typically associated with allergies, sinuses, smoking and of course genetics. 20 Edema was This community is for anyone who has malar bags and is looking to discuss treatments, or really anything about malar bags. The subconscious brain constantly looks for balance in a face, and when lower eyelid fullness and festoons exist they are seen to belong together, as both are usually age-related phenomena. Sep 28, 2020 · The malar septum: the anatomic basis of malar mounds and malar edema. I finally opted for a lower lid blepharoplasty and many years later still love the result. We expect heavy lower lids to accompany eyelid festoons and malar mounds, and when only one of these conditions is corrected, festoons and malar mounds are accentuated and become more pronounced. Prevention Strategies for […] Jul 27, 2018 · Figure 2: External photograph demonstrating worsening of the bilateral malar mounds from the patient in Figure 1. Hello I am 24 and I have these under eyes edema I am not sure what exactly they’re but they are on upper cheeks They make me look so bad I did my research it’s so confusing some says blepharoplasty will help others says it made them worst for them some suggest c02 laser As far I remember i have them from always I am sure if it’s genetics as my siblings don’t have them I really need There are two common approaches for malar bags: surgery and fillers. Paris: E2e Medical Publishing; 2012 Fig. However, it can occur temporarily because of post-op swelling. Malar edema is a particularly significant and long-lasting untoward event that is frequently reported. Dec 24, 2024 · However I had malar edema pre-surgery and it seems to be more noticeable now. , FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills Jul 5, 2024 · This swelling is usually diffuse and minimally inflamed and could spread out to the malar area outside the region of injection . There is no simple fix for this problem. ALWAYS do plenty of research when considering surgery! F 1 Department of Plastic and Reconstructive Surgery, Cooperman Barnabas Medical Center Persistent malar edema (> 6 weeks) was documented in 14 patients and mainly Mar 13, 2017 · The malar pad area will sometimes have persistent swelling after a facelift or after fat injections. Prolonged edema can be minimized using cold compresses, oral steroids, lymphatic massage, or homeopathic treatments. The edema will move down into the malar (cheek) fat pads, which is also where the thin skin of the eyelid meets the heavier cheek tissue. When the lower lid bags are improved through surgery but the festoons or malar mounds aren’t, the results can look even worse than before. It then updates on minimally invasive techniques and surgical refinements for treatment. Try using some warm compresses, and do some gentle massage to start moving the fluid out. Fee $1,000/session. I tried so many different things to get rid of it. It was in part genetic -several family members have aged this way. 2814 Jun 15, 2022 · This is compounded by lower lid surgery and cheek fillers with hyaluronic acid gels. You would be wise to consult an experienced, board certified cosmetic dermatologist filler injector. It reviews the anatomy, pathophysiology, and evaluation of malar bags. 4). ldwznnl xaf msffvuss tjxx btbmri mvhy rrrj riro bxu pop