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carlisle, United Kingdom

Hi, I am 38, I have malar bags. They are getting worse and I am interested in hearing from anyone who has had successful treatment for malar bags.
face lift

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Doctor/Professional Answers (3)   


Plastic surgeon
vienna, VA
United States
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September 4, 2011 4:43 AM

Can you show a front view picture? (more)
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Plastic surgeon
Miami, FL
United States
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October 27, 2010 4:05 AM

I agree with Miss J but I have done about 20 patients with low watts of Smart Lipo ONLY. I get a 50% improvement. But again this is very limited. (more)
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Plastic surgeon
Torrance, CA
United States
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  Common early sign of facial aging
February 11, 2009 1:47 PM

This is a common complaint amongst people in their late 30s and early 40s as one of the first changes we notice in our face is cheek/midface descent which manifests itself as malar bags. (more)
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Member Comments (2)

  question for Miss J
September 2, 2011 3:18 PM

Miss J, thank you for your excellent answer and differentiation on malar bags. fat vs fluid
I have fluid retention along the zigomatic bone in the form of a crescent from inner to outer canthus. Could you recommend a doctor surgeon specializing in this kind of problem preferably in NYC but I would be willing to travel. I would like to see a doctor-surgeon who has a complete grasp of the problem fluid-fat .Thank you for your time I would appreciate it immensely.

Camb, MA
United States
October 26, 2010 10:07 PM

Even experienced doctors don't have a universal solution for malar bags.Cheek lift is not 'the' solution to them and they are not something you can attribute to 'gravity did it' either. Even a well respected 'top doc'; Dr. Owsley, when on a professional panel with other ASAPS docs did not know a good corrective procedure for them. They have a lot to do with a piece of anatomy called the 'malar septum'; basically the 'black eye area' that's a thin piece of fascia that sequesters fluids. He suggests a direct excision of them. However that would leave a faint scar. But still, experienced doctors on a panel of experts when asked this question did not suggest a cheek lift because the malar bag is not really a descended fat pad. It's exact origin is unclear and malar bags are NOT clinically observed in all patients. Hence, it's not a common factor of aging or 'gravity' and on the panel, the experienced docs distinguish between the malar bag and the malar fat pad--not the same things. A cheek lift could make the malar bag worse by introducing chronic edema into the malar bag area.

I just saw this message today. I hope you see my reply before you jump into a cheek lift to treat your malar bag.



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