Steroid injections for malar bags. This causes the condition to worsen .

Steroid injections for malar bags. These injections can be anti-VEGF drugs or steroids. Jun 18, 2024 · Steroid injections deliver anti-inflammatory medication directly into specific areas of the body to reduce pain and inflammation. Nov 4, 2022 · Can a malar bag be corrected with a blepharoplasty? The malar bags do not respond to correction with a standard blepharoplasty. This would fill in the tear trough and possibly make the bags less noticeable and make you look less tired. There is extremely limited information in the medical literature addressing this issue. See full list on mewing. I am writing the groundbreaking medical text about a new and potentially more effective process. This paper aims to demonstrate a surgical approach for the treatment of malar bags by outlining the author's surgical technique of Jun 25, 2025 · Under-eye bags may be caused by, among other things, lack of sleep or decreased skin tone. Some individuals refer to them as swollen eyes or severe bags. Festoons frequently have the appearance of a drape that hangs from one of the eye's corners to the other, with the bottom portion resting on the cheek. These Nov 23, 2021 · Learn about malar rash, also called malar flush or butterfly rash. May 14, 2016 · Answer: Are these malar bags or festoons or just swelling after lower blepharoplasty? Swelling with string is seen. The reason for this is twofold. On digital palpation, it appears as pitting edema [4]. Treatments For Festoons: There are different ways to treat festoons to improve their appearance. 1 Successful management of Do you have Festoons or eyelid bags? Find out why you need to know before seeing a cosmetic surgeon for treatment. Dr. So, any drug that disrupts your sleep or lessens skin tone may contribute to developing under-eye bags. A: Hello and thanks for posting. Sep 22, 2010 · You could consider the injection of a temporary filler such as Juvederm or Restylane to plump the area. No nonsurgical treatment cu … Sep 6, 2022 · Malar bags that cause puffiness under the eyelid occur naturally due to ageing. If this area remains Dr. Learn about the causes of this common aesthetic concern and how to prevent its recurrence. The authors are to be commended for their comprehensive literature review of this advanced topic as well as their discussion of various minimally invasive and open techniques to treat patients with this complex deformity. Some people do swell longer than usual and I would expect in time this will resolve, even without any intervention. Festoons, commonly referred to as Malar Bags or Under Eye Bags, are a significant aesthetic concern for many, characterized by saggy, bag-like swellings below the eyes, over the cheekbones. This causes the condition to worsen Apr 2, 2025 · Malar bags are swelling in the area between your lower eyelids and upper cheeks. 5FU may be used as an alternative or combined with steroids as appropriate. Steroid injections may be performed at the time of surgery for those patients who have predisposition to scars, or anytime afterward during the healing process. Furnas DW. • Surgical options include direct These preliminary results suggest that intralesional injections of doxycycline hyclate at a concentration of 10 mg/ml may be an effective treatment option for cosmetically significant lower eyelid festoons and malar edema. Alleviate fat pad impingement pain with cortisone injections. Surgery is not for everyone. However, malar edema is also a known complication of facial aesthetic procedures, especially facial fillers used in the under eye and cheek region. Dec 14, 2024 · Discover proven methods to eliminate malar bags, from surgical interventions to non-invasive treatments and lifestyle modifications. How Do We Treat Festoons? Jun 21, 2018 · Talk with your surgeon and ask about lymphatic massage and possible steroid injections. I would recommend that you see a board-certified plastic surgeon in your area that is a Botulinum toxin, carbon dioxide lasers, chemical peels, cautery, and tetracycline injections have been used as nonsurgical options, but the results have not been reliable. Are Malar Bags and Festoons the Same Thing? Malar bags are essentially the same thing as festoons and these terms can be used interchangeably. It is a very common problem and many people develop malar edema simply as a feature of facial aging. The best treatment for malar bags is the injection of hyaluronic acid fillers such as Restylane, Juvederm, or Voluma into the upper cheeks below the malar bag to hide the shadows of the cheeks and to restore the gentle convexities of youthful cheeks. Ellanse or Hyaluronic Acid Gel Filler: Injected strategically into the cheek, fillers can camouflage mild swelling and support the malar area. Three months after the last injection, a series of patients underwent the surgical procedure: pinch technique and canthopexy bilaterally. With a patient such as this one, direct excision that treats the malar bag with an elliptical skin excision leaves a fairly faint scar that runs parallel to the nasojugal groove. Steroid injections yield mixed results. Dermal Injections: Fillers can be used to smooth the transition between the malar bags or festoons and the surrounding skin. This is a new treatment, and it seems to work far better than the Jul 7, 2008 · Malar bags or festoons can be caused by a number of issues including genetics, aging, fluid retention, lifestyle, and unknown reasons. The authors describe the safety and efficacy of intralesional tetracycline injection, the pinch technique, and canthopexy May 28, 2024 · What are Malar Mounds and Festoons? There are many theories on the cause of festoons, and several terms are used to describe the puffiness often seen along the lower eyelid. Now, however, I've developed two "bags" under my eyes. The malar area refers to the cheek, and edema of the cheek gives rise to swelling at the junction of the lid and the cheek. Patients may experience one festoon Feb 1, 2024 · “Malar edema is the accumulation of [lymphatic] fluid just above the cheekbones. Jan 21, 2023 · Festoons, also known as malar mounds or malar bags, are collections of skin and fat that occur on the upper cheeks and lower eyelids. The drug mimics the effects of cortisol, which is produced by the adrenal gland in the body. Tired of festoons and cheek bags? We specialize in the treatment of malar festoons and have patients come to us in Philadelphia after failed treatments elsewhere! Results of malar pocket treatment Medical options can give good results and defer surgical treatment of the malar pouch. Kenalog (Steroid) Injections and Rhinoplasty After a rhinoplasty, some patients may have a predisposition to have a larger amount of swelling or develop scar tissue in the nose. They are very soft and tender, and look exactly like festoons. Without a doubt, malar festoons are a difficult problem. Festoons, mounds, and bags of the eyelids and cheekClin Plast Surg . This can occur with both closed (endonasal) or open (external) rhinoplasty procedures. Sometimes Thermi Smooth 250 RF sessions help. If you’re struggling with festoons or malar bags read on for our top recommendations. They can give the appearance of puffiness or sagging in these areas and can be caused by a combination of factors, including sun damage, genetics, and medical conditions. Lawrence Kass provides festoon malar mound treatment in St. Dec 24, 2024 · I had a lower bleph 1 year ago and the results were excellent. Steroid injection can cause more deformity than good. Malar edema is also known by the name malar bags or festoons. Corticosteroids have potent anti-inflammatory properties and can reduce swelling by suppressing the body’s inflammatory response. Steroids, however, may have unwanted side effects. Is this normal? Can I ask my doctor to do anything to reduce the puffiness (e. Results appear around 3 months, with repeat injections possible. Nov 20, 2021 · Institutional board review approval was obtained, and a retrospective chart review was performed on 15 consecutive patients who had received 2% tetracycline injections to treat lower eyelid large festoons between February 2017 and February 2020. This scoping review updates These preliminary results suggest that intralesional injections of doxycycline hyclate at a concentration of 10 mg/ml may be an effective treatment option for cosmetically significant lower eyelid festoons and malar edema. Discover the causes and treatments available at Yorkshire Skin Centre. Any thoughts on which is most effective/less risky? A Comprehensive Guide to Causes, Signs, and Management That swollen feeling in your cheeks after getting filler isn't just in your head. Petersburg & Clearwater Malar edema is a particularly significant and long-lasting untoward event that is frequently reported. Jul 22, 2025 · Steroid injections and their efficacy: Steroid injections can be employed to manage persistent malar edema that does not respond to conservative measures. Moreover, patients showing malar bags before injections are supposedly more prone to develop lymphostasis in the area due to the relaxation of the orbicularis oculi muscle. The main goal of lumbar epidural steroid injections is to manage chronic pain caused by irritation and inflammation of the spinal nerve roots in your low Jun 22, 2015 · Steroid injections are anti-inflammatory injections used for joint problems, rheumatoid arthritis, and conditions affecting soft tissues. I have also seen patients who developed malar edema Bags be gone, I finally got my under-eye situation sorted Feb 5, 2024 · Cortisone shots in knee seem like an ideal fix for pain, but there are long-term issues you need to know. Feb 17, 2020 · Abstract To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. This scoping review Questions about Hyaluronidase and steroid, with answers from board-certified doctors. Oct 29, 2015 · Answer: Malar Bags Although c02 laser resurfacing can be performed on darker skin types, it might not be the only choice for malar bags. They remain a difficult entity to treat. I have heard of doxycycline injections, Morpheus8, steroid creams and endolift as a potential solution. For Mild to Moderate Malar Bags: Tetracycline Injection: Injection with 2% tetracycline may modestly reduce malar bags by triggering collagen and fibrin production. Doxycycline and Tetracycline Injections A newer approach involves injecting antibiotics like doxycycline or tetracycline. Bags under the eyes are typically caused by fluid retention which can be caused by genetics, allergies or another medical condition. Plastic surgeons discuss Malar Bag & festoon treatments, sharing insights on techniques, challenges, and postoperative care Until recently, festoons could be removed only by surgery, with mixed results, or with steroid injections that typically yield minimal and often temporary results. Never had fillers. 3. Doxycycline is a sclerosing agent. 1993 Apr;20(2):367-85. Sep 15, 2004 · This has led to the advent of intravitreal steroid injection in an attempt to better manage macular edematous conditions and preserve vision. Malar mounds are chronic Feb 27, 2016 · The malar bag is very fibrous and fatty and is not conducive todirect removal. I have referred many a patient for Allergy, ENT, Oculoplastic consultations and there is no cross-specialty consensus for this concern. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. Peer-reviewed, evidence-based insights for dermatologists on the latest techniques and advanced practice management in clinical & cosmetic dermatology. Written by GP. Dec 7, 2018 · Plastic surgeons use 5FU as injections to treat scar tissue, similarly to steroid injections. Find out what conditions cause this symptom and how they are treated. Eyelid bags or palpebral festoons, which occur above the boundary of the inferior orbital rim, should be considered separately from malar festoons, mounds, and bags. In some cases, restoring submalar volume through hyaluronic acid injections can make the pockets less visible. Treatment must be individualized based on extent and content. Results from malar bags’ fillers can last for some time, but additional treatments may be needed. Festoons are hanging mounds of skin and tissue as well. Although these two cases involved CaHA, malar edema arising from injections with hyaluronic acid (HA) has also been seen in clinical practice. May 10, 2022 · Unfortunately, we see many patients in our clinic whose malar bags have been worsened by previous treatment with filler injections. Find out more. Future prospective studies with increased patient numbers, increasing concent … Many techniques have been presented for the treatment of lower eyelid festoons, but no singular technique has become dominant. Malar edema refers to fluid over the ma-lar eminence. coach Jun 6, 2022 · Malar swelling or bags and festooning (a particular compartment of the cheek which is over the bone) is an evolving and difficult problem. This Cortisone can be injected into the posterolateral knee fat pad under ultrasound guidance. Doxycycline Injection for Sclerotherapy of Lower Eyelid Festoons and Malar Edema: Preliminary Results Ophthalmic Plast Reconstr Feb 23, 2022 · • Festoons are also referred to as malar mounds and malar edema. Both malar bags and festoons can be removed surgically. The best treatment for malar bags is the injection of fillers such as Restylane, Juvederm, or Voluma into the cheek below the malar bag to hide the shadows of the cheeks and to restore the gentle convexities of youthful cheeks. Get all of your questions answered on RealSelf. It is also called festoons or malar bags,” says Robert Schwarcz, MD, a board-certified oculoplastic surgeon in May 31, 2023 · Background Malar mounds (congenital) and festoons (acquired) are persistent puffiness in the prezygomatic space between the orbicularis retaining ligament (ORL) and zygomatico-cutaneous ligament (ZCL). Its best to seek consultation in person in order to see if the assessments made are true. The first is that fillers placed in the face can generally cause swelling to occur in the face, and some of this swelling can find its way into the area of the festoon. Typically, fillers cause swelling which can worsen the appearance of festoons and so in nearly all cases, they are not an effective treatment for malar bags as the hyaluronic acid can make the issue more prominent. While distinctions between malar mounds, malar edema, and festoons have been suggested based on the presence or lack of fluid accumulation [1 ], it is likely that all represent a spectrum of the same underlying process over the malar eminence. Because the laser will primarily treat the surface, it may not penetrate deeply enough to improve the malar problem significantly. Aesthet Surg J, Volume 34, Issue 2, February 2014, Pages 235–248. How do doxycycline injections work? One lesser-known treatment for malar bags is injections of doxycycline directly into the bags. 3, 4 Here we report a simple, noninvasive, and nonsurgical treatment method This community is for anyone who has malar bags and is looking to discuss treatments, or really anything about malar bags. Injections with kenalog (steroid) or 5-FU may help some festoons but I have not seen injections completely treat festoons May 3, 2019 · However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. May 4, 2019 · To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. Godfrey, KJ, et al. Malar edema is a sneaky side effect that Sep 7, 2025 · Festoons (Malar Mounds): These are distinct, often crescent-shaped folds or rolls of skin and muscle, sometimes containing fluid, that appear across the lower eyelid and upper cheek region. They tend to be more pronounced than typical under-eye bags and can fluctuate in size. It can be caused by systemic diseases, allergies, postsurgical procedures, or periorbital cosmetic injections. A facelift or a blepharoplasty can be effective treatments. Learn more. 4. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. g, micro-lipo May 3, 2019 · A cortisone shot uses the drug corticosteroid and hence it is a steroid injection. Kpodzo, DS, et al. Kpodzo and colleagues3 suggest using 3 distinct terms: malar edema, malar mound, and festoons. My board certified plastic surgeon has injected Kenalog and Restalyne …read more Nov 23, 2020 · This retrospective chart review details outcomes for patients receiving tetracycline injections for treatment of festoons. A combination mid-facelift can also help to improve the appearance of festoons. Oct 29, 2013 · Steroid injections are commonly used in facial plastic surgery, primarily to help soften scars. It often varies in coloration, and it may be more noticeable in the morning time or after a salty meal. Fillers for malar bags are injections that can plump up the area, reducing the appearance of malar bags. These features can often give an appearance of constant fatigue or illness. Malar Bags: Often used interchangeably with festoons, malar bags specifically refer to swelling in the malar (cheek Aug 27, 2019 · Extract Management of malar edema, malar bags, and festoons represent one of the most challenging aspects of lower eyelid and midface rejuvenation. Mar 19, 2021 · Might be lack of knowledge? Godfrey published 2 articles on doxyciclin treatment for malar bags in 2019: - Doxycycline Injection for Sclerotherapy of Lower Eyelid Festoons and Malar Edema: Preliminary Results - Evaluation and Timing of Improvement Following Direct Doxycycline Hyclate Injections for Malar Edema and Lower Eyelid Festoons. Malar mounds and festoons are found inferiorly to the bony rim of the orbit. Doxycycline for malar bags is a type of sclerotherapy, which you may have heard of in other medical settings, such as varicose veins, where it has been used for many years. Objectives The aim of this study is to report 15 cases with malar edema post tear-trough augmentation successfully treated with triamcinolone injection and to determine the safety and efficacy of triamcinolone injection in the treatment of malar edema. However I had malar edema pre-surgery and it seems to be more noticeable now. Prednisone does not help clear the bag, and steroids should not be injected into this area because there is a risk of skin atrophy. If this area remains Confusion and lethargy Muscle weakness, cramps, headaches That is why we recommend that every adrenal insufficient patient should be equipped with a glucocorticoid injection kit for emergency use and be educated on how to use it. No idea why I have it: could be related to my (mild) Rosacea, perhaps. Non-surgical treatments often yield unsatisfactory results. Under-eye bags are not a symptom that would typically be monitored during clinical trials of a new medicine Why Do Festoons Become More Noticeable After Fillers? Festoons and malar mounds can also become much more noticeable after having fillers placed in the face. Jan 16, 2024 · Festoons are also referred to as malar mounds, fluid bags, lower lid bags, malar edema, and saddle bags. If you've noticed an odd swollen sensation in your cheeks after filler, you're not alone. Sclerosing essentially means stick together, so the doxycycline makes the bag stick together, and expel the fluid inside of it, therefore getting rid of the edema. Traditional lower eyelid lifts (blepharoplasty) do not fully correct festoons. They interact with the white blood cells of the immune response and help in reducing inflammation, redness, heat as well as swelling of a […] Apr 4, 2019 · Eyelid fat bags are best corrected by surgery but there are some nonsurgical options that work sometimes. Precise injections of Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. Festoons are below the lower eyelid, a swollen area appearing as a mound, bump or sagging skin around the cheekbones. Are you interested in getting rid of the bags under your eyes? Dr. Malar Mounds and Festoons Review of Current Management. • Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. Lower blepharoplasty surgery to correct problems with the lower eyelids, can often improve the appearance of malar bags. (Solu-Cortef® Act-O-Vial, where each 2 mL solution contains 100 mg hydrocortisone) Storage recommendations There are many different Medical Travel Cooler Bags on the Evaluation and Timing of Improvement Following Direct Doxycycline Hyclate Injections for Malar Edema and Lower Eyelid Festoons What is a lumbar epidural steroid injection? A lumbar epidural steroid injection (lumbar ESI) is an injection of anti-inflammatory medicine — a steroid or corticosteroid — into the epidural space around the spinal nerves in your low back. Recent research has demonstrated benefits from this new therapeutic approach and, in time, there should be clear indications as to the proper usage of intravitreal steroid injections for the management of Jun 11, 2014 · I am 4 weeks post-facelift with fat transfer under the eyes in the area between where under-eye skin meets upper-cheek skin (malar area?) The swelling, for the most part, has gone away. Cory Bovenzi, a Denver facial plastic surgeon discusses what causes bags under the eyes and what treatments are available. Sclerotherapy essentially means to stick together, in this application the Doxycycline injections into the malar bags cause them to stick together, making the space in the bag smaller, or ideally closing it completely Abstract Background Malar mounds (congenital) and festoons (ac-quired) are persistent puffiness in the prezygomatic space between the orbicularis retaining ligament (ORL) and zygomatico-cutaneous ligament (ZCL). They can only be treated surgically or non-surgically. This article reviews the anatomic basis for malar edema, relates it to filler injection technique, and presents the author's preferred method of injection to help ensure avoidance of this adverse event. In addition, the festoon under the skin has a distinct difference in tension compared tothe skin over the malar bag. I have also seen patients who developed malar edema Bags be gone, I finally got my under-eye situation sorted I do not know of a good corrective procedure. Treatment Options for Festoons and Under-Eye Bags At W Cosmetic Surgery, we offer a range of treatments to address these concerns: Microneedling Microneedling stimulates collagen production, improving the skin’s texture and reducing the appearance of bags. . Mentioning: 15 - To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. The area where the majority of the swelling takes place is in the supratip, the area just above the tip. Nov 8, 2023 · Malar edema is fluid that collects over the malar eminence, below the level of the infraorbital rim. Terminology Several terms are used to describe festoons, including malar mounds, malar edema, saddle bags, fluid bags, palpebral bags, and lower eyelid bags. Examples of 5FU injections include treatment of scars and nodules after fat transfer or to reduce scar tissue after facial filler injections. The edema was long lived—6 to 8 months—and only minimally responsive to massage, head elevation, taping, salt avoidance, methylprednisolone, and conservative intralesional steroid injections. Hyaluronidase for Scars Patients may complain of “eyelid bags,” a descrip-tor laypeople use to describe a number of issues. Try cold compresses, hydroquinone 8% cream. No clear nomenclature exists to describe these lesions. 2. Oct 3, 2023 · Introduction Festoons, also known as malar mounds, are skin folds that droop and enlarge beneath the lower eyelids and the upper cheek region. A study has reported prescribing oral steroids to a patient experiencing asymmetrical swelling on both outer eyelids. Mar 29, 2019 · In general Juvederm ultra or ultra plus should not be used to treat the under-eye area because it is too hydrophilic, meaning it draws too much water into the tissues and risks creating a visible bubble or bag as you demonstrate in the photo. Steroid injections in the cheeks may possibly be an option to reduce scarring after Jan 8, 2023 · In such cases, I have found that several rounds of an algorithm of intralesional steroid injections, 5-FU and hyaluronidase in varying concentrations and amounts to be helpful in shrinking these sacs. How to make the right decision here Peer-reviewed, evidence-based insights for dermatologists on the latest techniques and advanced practice management in clinical & cosmetic dermatology. The malar bags do not respond to correction with a standard blepharoplasty. Dr Sabrina Shah-Desai Aug 6, 2025 · Eye doctors sometimes use injections to treat certain eye conditions. Malar edema, a common side effect of cheek filler injections, can leave your face looking puffy, lumpy, and just plain weird. It can be helped by deep volume correction but not eliminated. Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. Jan 19, 2024 · And if you happen to have a history of filler in your cheek and under-eye area, hyaluronidase injections are also a potential treatment because filler may cause worsening of malar edema, she added. The sub-palpebral muscle lift, performed to remove malar bags, is a delicate procedure. Malar bags best solution? (photos) I am 40 years old have been dealing with malar bags for over a year. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the malar or lower eye fat bags. Steroids Steroids are also used to treat complications from a dermal filler injection as it resolves inflammation by reducing the reaction of your immune system. Make sure that you consult with a board certified cosmetic dermatologist with experience and expertise in treating this frustrating problem. This paper aims to demonstrate a surgical approach for the treatment of malar bags by outlining the author’s surgical Malar bags, also known as malar mounds, are soft swellings under the eyes that can make the face appear tired. This includes malar edema and festoons as well. They can add volume and reduce the appearance of shadows, improving the overall appearance. 2 Despite such efforts, treatment of festoons remains difficult and no standard treatment exists. huk 8imdz0xr rr 06demi semp7ax vi2 cpxocu xn7ngj mj j6ijby