Festoon and Malar Bags
Removal in London
Puffiness beneath the eyes and soft bulges across the cheekbones rarely shift with creams or concealer. Our London clinic treats festoons and malar bags using both surgical and non-surgical methods, matched to your anatomy and to how far the condition has progressed.
PATIENT REVIEWS
What Our Happy Patients Say About Us
Posted on D STrustindex verifies that the original source of the review is Google. I am absolutely delighted with the service I received in Newcastle. From start to finish, everything was professional, welcoming, and reassuring. I had Botox, IPL for spider vein on my nouse , and surgical scar removal, and the results have exceeded my expectations – I couldn’t be happier! Dr. Tanov is truly exceptional. Not only is he highly skilled and attentive in his treatments, but he also takes the time to explain everything clearly. His calm and patient manner makes the whole experience so comfortable and stress-free. I was also impressed by the way Dr. Tanov interacts with medical students during training – his ability to explain procedures in such a thorough and approachable way shows his dedication to teaching as well as patient care. Highly recommend to anyone considering treatment here – outstanding service and outstanding results!Posted on M BradTrustindex verifies that the original source of the review is Google. Had a great experience with Dr Tanov. Had 3 sessions of the Co2 laser for upper and lower blepharoplasty. Seen a great improvement in the eyes, much tighter skin and brighter more open appearance. Would recommend 😁Posted on Adrian WangTrustindex verifies that the original source of the review is Google. Dr. Kalin did a very precise job. Very accurate injection dose and points. Best experience in Newcastle.Posted on Jak HoggTrustindex verifies that the original source of the review is Google. Excellent service.Posted on Robert OxleyTrustindex verifies that the original source of the review is Google. Overall I would recommend Dr Tanov. He is highly professional and gives honest advice. His work has enhanced my face, giving a more youthful look that also looks natural.Posted on Paula CastroTrustindex verifies that the original source of the review is Google. Dr Tanov was very welcoming, knowledgeable and has put my mind at ease in regards to pain. He explained the procedure and after care thoroughly. I definitely recommend Dr Tanov.
What Are Festoons and Malar Bags?
The two terms sound interchangeable, but they describe different things, and telling them apart matters because each one responds to a different treatment.
Malar oedema refers to swelling of the face due to the accumulation of fluid above the cheekbones. This condition feels soft on palpation, has slight discolouration and appears more apparent upon waking in the morning or consuming salty foods. Allergies, glandular and organ disorders, and previous eye surgeries have been some of its common causes.
Malar mounds are permanent bulges of soft tissue in the upper cheeks, usually made up of descended fat or muscle. They frequently run in families and can show up surprisingly early in life.
Festoons are the drooping folds that hang beneath the eyes, forming pouches of loose skin and muscle as the years pass.
The three often overlap, and a patient may have all of them at once. That is precisely why a proper assessment comes first.
Festoon and Malar Bags Removal At a Glance
Everything you need to know before your consultation
How Does Treatment for Festoons and Malar Bags Work?
The right approach depends on the type of condition, how severe it is, and your individual anatomy. At your consultation, Dr Tanov or a qualified member of his experienced clinical team will assess your concerns carefully and recommend a personalised plan.
For Mild to Moderate Malar Bags
These 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 the best effect.
Placed strategically, fillers soften the transition between the lower eyelid and the cheek, reducing the visual impact of puffiness without adding unwanted volume.
This tightens the skin and improves overall contour across a course of three treatments, spaced four to six weeks apart. It works particularly well for early-stage malar bags and mild skin laxity.
For Moderate to Severe Malar Bags
A minimally invasive laser fibre targets the fat deposits beneath the skin's surface. Reported reductions reach up to 50% within three to six months, with downtime usually limited to temporary swelling or bruising. This is the mainstay of non-surgical malar bag removal London patients ask about most often.
For Severe or Persistent Cases
Best suited to older patients for whom removal takes priority over minimal scarring. Recovery is relatively quick, though the technique does not suit every anatomical presentation.
This addresses both the lower eyelid and the malar bag in a single procedure. It is the most comprehensive option for the most complex or stubborn cases, and involves general or twilight anaesthesia with a longer recovery.
Who Is Suitable for Malar Bags Treatment London?
You may be a good candidate if you:
- ●Live with chronic puffiness or swelling around the lower eyelids
- ●Notice soft tissue protrusions sitting above your cheekbones
- ●Have tried skincare or beauty therapies without any real improvement
- ●Have mild to moderately developed festoons and would prefer a non-surgical or minimally invasive route
- ●Want firmer skin texture for a smoother, fresher look
- ●Would like to rejuvenate the mid-face and restore a more balanced appearance
Treatment Process
A step-by-step breakdown of what to expect
Festoon and Malar Bags Removal Cost London
Prices for festoon and malar bags removal cost London enquiries start from £___ and vary with the method chosen. Because this condition presents so differently from person to person, your final figure is confirmed once you have been assessed.
Treatment prices shown do not include the consultation fee unless otherwise stated. Final treatment recommendations and pricing will be confirmed during consultation. Consultation fees are non-refundable and non-redeemable against treatment costs.
Benefits of Festoon and Malar Bags Removal
Reduces Persistent Puffiness
Tightens and firms sagging skin, delivering visible lifting from the deeper layers.
Smooths Sagging Skin
Softens loose skin beneath the eyes for a firmer, more youthful appearance.
Minimises Shadowing
Reduces the hollows and dark shadows that under-eye swelling casts.
Restores Definition
Brings back a cleaner cheek and lower eyelid contour.
Provides a New Look
Helps to soften the fatigued look created by the festoons.
Provides Minimal Downtime Alternatives
Nonsurgical and minimally invasive procedures for a more permanent solution without downtime.
Who Will Perform Your Treatment?
Dr Kalin Tanov
Dr Tanov is a Consultant Ophthalmologist and the Clinical Director of Dr Tanov Aesthetics. With a background as an eye surgeon, he combines surgical precision with a specialist focus on periorbital (eye area) rejuvenation.
Your procedure will be carried out by Dr Tanov, an experienced aesthetic doctor with extensive expertise in eyelid rejuvenation and facial aesthetics.
Potential Complications & Their Management
As with any aesthetic or surgical procedure, it is important to be aware of possible complications.
Common following surgery; managed with cold compresses, head elevation, and anti-inflammatory medication.
Temporary dryness or itching may occur; relieved with lubricating drops and ointments.
Rare but possible; treated using antibiotics and appropriate wound care.
Caused by swelling; likely to improve within days to weeks.
Can be prevented with proper technique; revision or creams may help if scarring occurs.
Usually temporary; severe cases are rare and may require corrective treatment.
Requires prompt attention; drainage may occasionally be necessary.
Frequently Asked Questions
Malar bags come from water retention or hereditary factors and create puffiness across the cheeks. Festoons are droopy folds of skin that form pouches beneath the eyes as excess skin and muscle develop with age. You can have one, the other, or both at the same time.
Yes, in mild to moderate cases. Endolift laser, Morpheus 8 radiofrequency microneedling and tetracycline injections all make a real difference. For more advanced cases, surgery remains the stronger option.
Non-surgical treatments generally hold for six to eighteen months. Surgical results can last ten years or more, particularly if you look after your skin.
Most patients find the procedures comfortable. We apply a numbing cream or local anaesthetic beforehand, and people typically report only mild discomfort. Surgical cases are performed under local or twilight anaesthesia to keep you at ease throughout.
It depends on the method. Non-surgical routes take roughly three to five days with some mild swelling or redness. Surgery generally needs one to two weeks.
Your First Step Towards Fresher, Brighter Eyes
Festoons and malar bags are more than a cosmetic concern. They shape how you feel about your appearance every single day. If you have been hunting for answers without finding the right solution, a consultation could be the turning point.
Further Reading