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Non-Surgical Treatment · Festoons & Malar Bags Removal

Festoons & Malar Bags
Removal in Newcastle

Effectively remove festoons and malar bags without traditional surgery. This advanced, non-surgical treatment targets sagging skin and under-eye puffiness, restoring a smoother, firmer, and more refreshed appearance with minimal downtime.

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Endolift Newcastle — Dr Tanov

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Festoon and Malar Bags Removal At A Glance

Everything you need to know before your consultation

Procedure Duration
1–3 hrs
Depending on approach
Anaesthesia
Local or Twilight
For comfort throughout
Downtime
1–2 weeks
Minimal disruption to daily life
Back to Work
3–5 days / 1–2 wks
Non-surgical / surgical approach
Results Duration
Up to 10 yrs (surgical)
6–18 months (non-surgical)
Starting Cost
From £3,200
Confirmed at consultation

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

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 and is Dr Tanov's most comprehensive option for the most complex or consultation.

Who Is Suitable for Festoons & Malar Bags Treatment?

This treatment is ideal for patients looking to address festoon and malar bag concerns

Chronic Puffiness
Individuals suffering from chronic puffiness or swelling around the lower eyelids.
Cheek Protrusions
Those dealing with soft tissue protrusions above their cheekbones.
Failed Skincare Treatments
Patients whose under-eye problems have failed to improve through skincare or conventional beauty therapies.
Mild to Moderate Festoons
Persons with slightly to moderately developed festoons opting for a non-surgical or minimal surgical technique.
Improve Skin Texture & Firmness
Anyone looking to improve skin texture and firmness for a smoother, more refreshed overall appearance.
Mid-Facial Rejuvenation
Anyone interested in rejuvenating their mid-facial region and restoring a more balanced appearance.

Treatment Process

A step-by-step breakdown of what to expect during your treatment

1
Consultation
Dr Tanov will assess your lower eyelid and cheek area in detail, identify the type and severity of your festoons (malar bags), and recommend the most appropriate treatment based on your anatomy and goals.
2
Preparation
Gently clean the treatment area. A numbing cream or local anaesthetic is applied to ensure your comfort throughout the procedure.
3
Treatment
The selected method, which could be non-invasive, minimally invasive, or invasive, is performed meticulously. Dr Tanov operates with great care to correct swelling, looseness, and excess skin without affecting other surrounding tissues.
4
Refinement
It's all about achieving the best possible balance. Treatment for festoons and malar bags must be delicate. This procedure is all about looking refreshed, not overdone.
5
Aftercare
Your provider will give you clear aftercare instructions to support healing and maximise your results. They will include follow-up appointments to monitor your progress.

Festoon & Malar Bags Removal Cost

Festoons & Malar Bags Removal (Blepharoplasty)
1 area
£3,200
Lower Lid Blepharoplasty
1 session/area
£3,200
Upper Lid Blepharoplasty
1 session
£2,800
Endolift Laser (non-surgical option)
1 session
From £1,500
Morpheus 8 (course of 3)
Course of 3
From £1,200

*Price includes consultation, procedure and follow-up care. Final quote confirmed at consultation.

Benefits Of Festoon and Malar Bags Removal

Reduces Persistent Puffiness

Tightens and firms sagging skin across the face and neck, delivering visible lifting from within the deep layers.

Smooths Sagging Skin

Smooths and tightens sagging skin beneath the eyes, restoring a firmer and more youthful appearance.

Minimises Shadowing

Minimises the shadowing and hollows caused by under-eye swelling for a brighter appearance.

Restores Definition

Restores definition to the cheek and lower eyelid contour for a more balanced appearance.

Refreshed Appearance

Creates a more refreshed, balanced, and well-rested appearance that softens the tired look festoons cause.

Minimal Downtime Options

Minimal downtime with non-surgical and minimally invasive options, providing long-lasting improvement.

Your Surgeon

Who Will Perform Your Treatment?

Dr Kalin Tanov
Dr Kalin Tanov
GMC No. 7576302

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.

Qualifications
MBBS, Consultant Ophthalmologist, Specialist Eye Surgeon.
Experience
Over 15 years in clinical practice, having performed more than 50,000 procedures.
Specialist Interest
Expert in eyelid surgery (Blepharoplasty) and CO2 laser rejuvenation.
Memberships
GMC Registered (7576302) and Member of the Royal College of Surgeons.

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.

Swelling and Bruising

Common following surgery; managed with cold compresses, head elevation, and anti-inflammatory medication.

Dry or Irritated Eyes

Temporary dryness or itching may occur; relieved with lubricating drops and ointments.

Infection

Rare but possible; treated using antibiotics and appropriate wound care.

Vision Disturbance

Caused by swelling; likely to improve within days to weeks.

Scarring

Can be prevented with proper technique; revision or creams may help if scarring occurs.

Difficulty Closing the Eyes

Usually temporary; severe cases are rare and may require corrective treatment.

Bleeding or Haematoma

Requires prompt attention; drainage may occasionally be necessary.

Frequently Asked Questions

What is the difference between festoons and malar bags?+

Water retention or hereditary factors cause malar bags, which create puffiness in the cheeks. Festoons are droopy skin folds that appear beneath the eyes as pouches of excess skin and muscle that develop with age. The two conditions can be present either alone or in conjunction.

Can festoons be treated without surgery?+

Indeed, if it is only a mild-to-moderate case, other non-invasive approaches can make a difference. Among those are the Endolift laser procedure, Morpheus 8 radiofrequency microneedling, and tetracycline injections. In more serious cases, surgery remains the best option.

How long do results last?+

Nonsurgical procedures give you results for six to eighteen months, while surgery gives you results for ten years or more. It is especially true if you take proper care of your skin.

Is the treatment painful?+

Most patients find the procedures comfortable. Practitioners apply a numbing cream or administer a local anaesthetic before treatment, and patients generally experience only mild discomfort. In surgical cases, surgeons perform the procedure under local or twilight anaesthesia to keep you comfortable throughout.

How long is the recovery?+

Recovery depends on the treatment method. Non-surgical methods will take anywhere between three and five days with slight inflammation or redness. If surgery is involved, it will take around 1 to 2 weeks to recover.

Why should I see Dr Tanov for this concern rather than a general aesthetics practitioner?+

Festoons and malar bags sit in one of the most anatomically complex areas of the face. Dr Tanov's background as a Consultant Ophthalmologist and specialist eye surgeon means he has a thorough understanding of the structures involved, making him exceptionally well placed to assess and treat this area safely and effectively.

Your First Step Towards Fresher, Brighter Eyes

Festoons and malar bags are more than a cosmetic concern; they can affect how you feel about your appearance every single day. If you've been looking for answers and haven't found the right solution yet, a consultation with Dr Tanov could be the turning point. With a background as an eye surgeon and over 15 years of specialist experience, Dr Tanov is one of the very few practitioners in the North East with the expertise to properly assess and treat this complex area.

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