I can treat eye bags or malar bags, but first of all, we need to consider which you’ve got. So to me, as an oculoplastic surgeon, eye bags are if you have got little fatty protrusions through the lower lid here, that occurs usually with age, usually familial. Often, they occur because the cheek projection is not very great. And it’s quite a flat area at the top of the cheeks.
That is slightly different from malar bags. To me, malar bags are when this area gets a dermatis and puffy. Occasionally malar bags can be because you’ve got bad acne rosacea. You are getting retention of fluid in the upper cheek. And the treatment is not immediately surgical, but the treatment is medical. And in that situation, I would refer you to my colleague here at Clinica London, Dr. Jennifer Crawley. She is a consultant dermatologist and she would advise on the medical treatment of acne rosacea, causing the malar bags.
However, in other patients with malar bags, after the assessment, I may recommend that you, in fact, need some filler. Because, if this area is puffy here, maybe the puffiness is exaggerated, because across the cheek there is a hollowing happening. And by addressing that hollowing, we can even out cheek enervations and the malar bags will just blend in with the other cheek fat pad here and then the filler gently pushed into the cheek area with a very fine cannula.
Some people have another type of malar bags, and you are gathering now that it’s a very sought-after question “can I treat malar bags?”. But it’s very individual to each patient what they actually got. So some people have a big collection of skin that dropped down here onto the cheek. And with those, we can do a direct excision. A little bit like a blepharoplasty, but it’s an excision of malar bags.
So the message is for your eye bags, you really need to be assessed in person by myself, the oculoplastic surgeon here at Clinica London, so I can advise you, what exactly you need doing because there are many variations and options.
Ms Jane Olver is the founder of Clinica London and a Consultant Ophthalmologist and Oculoplastic Surgeon. Her special expertise is in oculoplastic and cosmetic eye surgery including eyelids and lacrimal surgery. She is specialised in endoscopic lacrimal surgery for watering eyes in adults and children. She has over 20 years’ experience in treating people with eye problems just like you, and has published extensively in scientific journals about Ophthalmology and Lacrimal Surgery and is the author of the books “Ophthalmology at a Glance” and “Colour Atlas of Lacrimal Surgery”. At Clinica London, she is responsible for the Aesthetic Medicine and Surgery part, as well as patients with eye, eyelid and tear duct problems, and acute eye problems.