[Which treatment for the malar bags?]

Area of Science:

• Plastic Surgery
• Ophthalmology

Background:

• Malar bags, or festoons, are a difficult-to-treat palpebral anomaly.
• Standard lower eyelid blepharoplasty is often insufficient for correcting malar bags.

Observation:

• Existing literature on malar bag physiopathology and treatment is limited.
• Malar bags often involve ptosis and excess orbicularis oculi muscle.

Findings:

• The midface sub-periosteal lift, incorporating lower eyelid dissection and subperiosteal malar dissection, shows promise.
• This technique addresses the orbicularis oculi muscle's contribution to malar bags.

Implications:

• Accurate clinical analysis is crucial for selecting the optimal malar bag treatment.
• A combined midface sub-periosteal lift and blepharoplasty may offer superior results.