Mokhtar Asaadi
Festoons and Malar Bags or Malar Mounds are puffiness
below lower eyelids and above cheeks .
They are very common and plastic surgeons are hesitant
to operate on them , because of lack of operative success
and high rate of complications .
Method : In the last 11 years more than 100 patients had
surgical correction of their festoons with great success
and no major complications . Patients who are born with
malar bags might need secondary procedures or off label
use of Kybella injection to eliminate the localized fat that
they had under the skin and over orbicularis muscle .
Results : All patients with festoons were corrected by
lower blepharoplasty , release of retaining ligaments, mid
facelift, canthopexy and orbicularis muscle suspension .
The redundancy of the skin in the lateral eyes were corrected
by shot scar temporal lift .