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August 31, 2026

festoons-how-to-treat-malar-pads

Festoons – How To Treat Malar Bags

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Treatments for Malar Bags and Festoons

It’s an accepted truth that time leaves its mark on us. As the years pass, subtle transformations emerge. The soft wrinkles around our eyes deepen, our once-radiant hair turns silvery, and our skin may show spots that speak of memories spent under the sun. These are the typical hallmarks of ageing. But while many of these changes are embraced as a testament to a life well lived, others can sometimes cast a shadow over how vibrant we feel inside.

Malar bags and festoons are such changes. These pesky swellings around the eyes and cheeks can make us look more tired and older than we actually feel. They’re more than just another wrinkle or laugh line; they can make a difference to one’s appearance, affecting self-confidence.

The good news? There’s no need to let malar bags and festoons dictate how you feel about your reflection. At Centre for Surgery in London, we’re armed with state-of-the-art treatments designed to address these specific concerns. Our experts are well-versed in both surgical and non-surgical methods to rejuvenate the area around your eyes, ensuring you not only look your best but also feel it.

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What are Festoons?

Festoons, also known as malar mounds or malar bags, are collections of skin and fat that occur on the upper cheeks and lower eyelids. They can give the appearance of puffiness or sagging in these areas and can be caused by a of factors, including sun damage, genetics, and medical conditions.

What are Malar Bags?

Malar fat pads, also known as “festoons,” are collections of fat and skin that occur on the upper cheeks and lower eyelids and can give the appearance of puffiness or sagging in these areas.

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The malar fat pads are formed by fatty tissue that accumulates in the malar (cheek) area and can be caused by a combination of factors, including sun damage, genetics, and medical conditions. These pads can be or acquired.

The malar fat pads are in the suborbicularis oculi fat (SOOF) and submalar fat compartments. The SOOF is the fat that sits on top of the orbicularis oculi muscle, which surrounds the eyes and the submalar fat is the fat that sits below the muscle.

The malar fat pads can be caused by various underlying medical conditions, such as lymphatic obstruction, which can lead to fluid accumulation in the face and exacerbate their appearance. Other underlying medical conditions, such as certain autoimmune disorders, chronic sinusitis, and allergies, can also cause malar fat pads.

In some cases, malar fat pads can be treated with a variety of cosmetic procedures, including , , or other cosmetic . However, it’s best to consult with a specialist facial plastic surgeon to the best course of treatment for your individual case, as underlying medical conditions must be ruled out and treated before any cosmetic procedure is considered.

What causes Festoon Eye Bags?

Festoons are caused by a combination of factors, including:

As we age, we lose volume in the cheeks and mid-face, which can cause the skin to sag and create a hollow appearance.

Sun damage can cause the skin to lose elasticity and become thinner, contributing to the development of festoons.

Some people may be predisposed to developing festoons due to their genetic makeup.

Damage to the facial nerve can weaken the muscles of the lower eyelids and cheeks, leading to sagging skin and festoons.

Sinus issues can cause fluid to build up in the lower eyelids and cheeks, leading to puffiness and bagginess.

What Are Malar Bags and Festoons, And Can They Be Removed?

Absolutely, it’s possible to address both malar bags and festoons. Let’s look at some of the treatment options:

This surgical approach specifically addresses issues of the lower eyelids. It’s particularly effective in reducing the appearance of malar bags, giving a refreshed look.

This procedure targets the midface, including the cheeks. It’s beneficial for those who have festoons – those puffy, saggy bits on the upper cheek right below the lower eyelid. Lifting and tightening this area can give a rejuvenated appearance.

While surgery offers more permanent solutions, there are non-invasive treatments available:

These are injectables that can fill in and smooth out certain areas of the face. They can provide some relief from malar bags and festoons. However, the results are temporary.

This is a more recent treatment that combines microneedling with radiofrequency technology. It’s designed to tighten and rejuvenate the skin. Like dermal fillers, the results might not be as long-lasting as surgery, so you’d need to revisit the clinic every so often for top-ups.

Do Malar Bags and Festoons worsen with age?

As we age, malar bags and festoons (those puffy areas on our cheeks, just under the eyes) may become more noticeable. Why does this happen? Our skin contains special called collagen and elastin. Think of these proteins like the in a mattress – they help keep our skin bouncy and firm. Over time, these proteins break down, making our skin less tight. Additionally, some fat around our eyes can start to push outward, making these areas appear more puffy.

So, if you’re to notice these bags or festoons more and it’s you, what can you do? Speaking to a plastic surgeon registered with the GMC (General Medical Council) is a good idea. They’ll be able to look closely at your face, understand your concerns, and suggest the best ways to help.

Not sure where to go? Centre for Surgery has a group of skilled professionals who specialise in this area. We are here to guide you, offer advice, and help you get the look you’re aiming for.

What can make Malar Bags look worse?

Malar fat pads, also known as “festoons,” are collections of fat and skin on the upper cheeks and lower eyelids that can give the appearance of puffiness or sagging in these areas. Several factors can worsen the appearance of malar fat pads:

Long-term exposure to UV rays can cause the skin to lose elasticity and collagen, leading to sagging and wrinkles.

Some people are more prone to developing malar fat pads due to inherited facial structure or genetics.

Gaining weight can lead to increased fat deposits in the face, the appearance of malar fat pads.

As we age, our skin loses elasticity and collagen, leading to wrinkles and sagging, which can worsen the appearance of malar fat pads.

Certain medical conditions can lead to fluid accumulation in the face, exacerbating the appearance of malar fat pads. These include lymphatic obstruction, certain autoimmune disorders, and other underlying health conditions.

Smoking and alcohol consumption can lead to poor blood circulation and contribute to the formation of festoons.

What surgical procedures remove Malar Bags and Festoons?

Malar bags and festoons are persistent and often challenging issues for many patients. They appear as puffy protrusions and sagging skin on the cheekbones and lower eyelids, respectively. Addressing these concerns often requires surgical interventions, including:

This procedure primarily targets the lower eyelids, but it can also be adapted to address malar bags. Surgeons can access and remove or reposition the fat that contributes to the appearance of these bags, thereby creating a smoother transition from the lower eyelid to the cheek. are typically made either just below the lash line or inside the lower eyelid, ensuring minimal visible scarring. The healing period for lower blepharoplasty is around 2 weeks, but minor swelling can persist longer. The usually provides long-lasting improvement.

As we age, the soft tissues of the face may sag, leading to the formation of festoons. A mid-facelift can effectively address this by elevating the soft tissues of the cheeks and mid-face that have descended. This helps to smooth the junction between the lower eyelids and the cheeks. Incisions are generally concealed near the hairline or ears. The recovery period after a mid-facelift typically lasts around four to six weeks. However, like the lower blepharoplasty, the results of a are durable and can refresh the face for many years.

In some cases, especially when festoons are pronounced, direct removal of the excess skin and tissue might be recommended. This procedure is more aggressive and might leave a scar, but in the hands of an experienced surgeon, these can be well concealed.

For milder festoons, laser treatments can tighten the skin and stimulate collagen production. This non-invasive procedure might be a suitable option for those who are not ready for surgical interventions.

Some patients benefit from to restore lost volume and smooth out the transitions in the mid-face area, thus reducing the appearance of malar bags and festoons.

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Lower Blepharoplasty, Upper Blepharoplasty, and Mid-Facelift

As we age, various parts of our face begin to show signs of wear and tear, resulting in wrinkles, sagging skin, and other visible indications of the passing years. The surgeries of Lower Blepharoplasty, Upper Blepharoplasty, and have been designed to address specific areas of the face, rejuvenating them and restoring a youthful appearance. Let’s explore their differences:

The above surgeries can be paired with additional procedures to offer a more holistic facial rejuvenation:

What are the best non-surgical treatments for festoon eye bags?

Several non-surgical treatments can be used to improve the appearance of festoons, including:

Dermal fillers such as hyaluronic acid or can be used to add volume and lift to the malar area, helping to smooth out the appearance of festoons.

Laser resurfacing can be used to tighten and smooth the skin and to reduce the appearance of wrinkles and fine lines.

This is a non-invasive radiofrequency treatment that delivers heat energy to the deeper layers of the skin to tighten and firm the skin and reduce the appearance of wrinkles and fine lines.

There are many topical skin care products that can help improve the appearance of festoons, such as creams and serums containing retinoids, antioxidants, and hyaluronic Onabotulinumtoxinaabobotulinumtoxinaincobotulinumtoxinaprabotulinumtoxinaletibotulinumtoxinarimabotulinumtoxinbhyaluronic Acid Fillerscalcium Hydroxylapatite Fillerspoly-L-Lactic Acid Fillerspolymethylmethacrylate Fillersautologous Fat Graftingforehead Lines Treatmentglabellar Frown Lines Treatmentcrow’s Feet Treatmentbunny Lines Treatmentchemical Brow Liftlip Flipgummy Smile Correctionmasseter Reductionjaw Slimmingdimpled Chin Smoothingcobblestone Chin Smoothingnefertiti Neck Liftmicro-Botoxmesotoxhyperhidrosis Treatmentchronic Migraine Reliefbruxism Treatmenttmj Treatmentcervical Dystonia Treatmentneck Spasm Treatmentblepharospasm Treatmentlip Augmentationlip Contouringcheekbone Enhancementtear Trough Fillersnasolabial Fold Softeningmarionette Line Fillersliquid Rhinoplastynon-Surgical Nose Jobjawline Contouringjawline Definitionchin Augmentationtemple Volumisinghand Rejuvenationacne Scar Subcision Filling. These products can help to improve the overall health and appearance of the skin by promoting collagen and elastin production and by protecting the skin from further damage.

Non-surgical treatments may not be as effective as surgical treatments such as blepharoplasty, and the results may not be permanent. Also, some of these treatments may have side effects such as redness, swelling, and pain, and they may require multiple to achieve the desired results.

Festoon & Malar Bag Treatments at Centre for Surgery

At Centre for Surgery, we believe in delivering not just treatments, but transformations. 🌟

🔹 Experience You Can TrustWith years of experience, our surgeons are among the best in the field, trained to deliver the utmost care and precision in every procedure.

🔹 State-of-the-Art FacilitiesWe are proud to house the latest in medical technology, ensuring that every procedure is at the forefront of innovation for optimal results.

🔹 Personalised Treatment PlansWe know that every patient is unique. That’s why we offer tailored treatment plans to meet your specific needs and goals.

🔹 Comprehensive AftercarePost-treatment care is pivotal. Our dedicated team is on hand to provide aftercare, ensuring you’re supported every step of the way.

🔹 ExcellenceOur consistent dedication to the highest of care and safety has earned us prestigious industry recognition.

📞 Get in Touch

Ready to embark on your transformation journey with us? We’re here to answer any queries you might have.

Contact Centre for Surgery:

Choose excellence. Choose a transformation. Choose Centre for Surgery. 🌟

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