Festoons & Malar Bags Removal in Newcastle

BLEPHAROPLASTY

Festoons & Malar Bags
BLEPHAROPLASTY

What Are Festoons & Malar Bags?

Festoons and malar bags are two closely related but distinct conditions that affect the lower eyelid and upper cheek area.

Malar Bags appear as soft, puffy swellings that sit just over the cheekbones. They tend to become more prominent in the morning, after a salty meal, or during allergy season. In some people, they are linked to fluid retention, previous injectable treatments, thyroid conditions, or simply genetics, which can run in families and appear from a surprisingly young age.

Festoons are sagging pouches of loose skin and muscle that form beneath the lower eyelids. They typically develop later in life, particularly in those with sun-damaged skin or a history of smoking. Over time, they can fill with fluid or fat, creating a heavy, draped appearance that is resistant to both skincare and standard under-eye treatments.

Both conditions are notoriously difficult to treat and require a specialist with a thorough understanding of the periorbital anatomy. That's where Dr Tanov's background as a Consultant Ophthalmologist makes a genuine difference.

How Does Treatment for Festoons & Malar Bags Work?

The most appropriate treatment depends on the type of condition, its severity, and your individual anatomy. During your consultation, Dr Tanov will assess your concerns carefully and recommend a personalised plan.

For Mild to Moderate Malar Bags

Tetracycline Injections stimulate collagen and fibrin production within the tissue, gradually reducing swelling and improving contour. Results develop over several months and may require repeat sessions for optimal effect. Dermal Fillers, when placed strategically, can soften the transition between the lower eyelid and cheek, reducing the visual impact of puffiness without adding unwanted volume. Radiofrequency Microneedling with Morpheus 8 tightens the skin and improves overall contour through a course of three treatments, spaced four to six weeks apart. It works particularly well for those with early-stage malar bags and mild skin laxity.

For Moderate to Severe Malar Bags

Endolift Laser targets the fat deposits beneath the skin's surface using a minimally invasive laser fibre. It can reduce the appearance of malar bags by up to 50% within three to six months, with minimal downtime typically limited to temporary swelling or bruising.

For Severe or Persistent Cases

Direct Excision is best suited to older patients for whom removal takes priority over minimal scarring. Recovery is relatively quick, though the technique is not suitable for all anatomical presentations. Extended Lower Lid Blepharoplasty with Midface Lift addresses both the lower eyelid and malar bag in a single procedure. Surgeons perform this most comprehensive option for stubborn or recurring festoons under local or twilight anaesthesia.

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Duration

1-3 hours

Driving

After 3 Days

Anaesthesia

Local or Twilight

Hospital Stay

Day Case

Exercise

After 2 Weeks

Final Results

up to 10 years

Pre Admission Tests

Not required

Addresses

Lower Eyelid Puffiness

Downtime

1-2 Weeks

Thread Veins Removal Treatment

Unsure what to expect at this treatment? Take a look behind the flashing lights and glamour and gain real perspective into this treatment offered at Dr Tanov Aesthetic clinic using a standard IPhone to record! No editing or filters have been used in the making of this video!

Types of Festoons & Malar Bags

Understanding what you're dealing with is the first step towards effective treatment. There are three main presentations: Malar Oedema: Fluid accumulation over the cheekbones. It often feels soft to the touch, may appear slightly discoloured, and typically worsens in the morning or after eating salty food. Allergies, thyroid or organ conditions, or previous under-eye aesthetic treatments can also trigger it. Malar Mounds are permanent soft-tissue bulges in the upper cheeks, often composed of descended fat or muscle. They frequently run in families and can appear at a young age, gradually worsening over time. Festoons are sagging pouches of loose skin and muscle beneath the lower eyelids, often filled with fluid or fat. They are most common in older adults, particularly those with sun-damaged skin or a history of smoking, and frequently develop from long-standing malar oedema or mounds.