Using Retin-A for many years can improve the collagen and elastin levels in the skin, which can help correct a main cause of many Malar Mounds and Festoons—namely, damage to the skin over time from the sun. That said, it is still not as effective as surgical treatment options.
Malar bags can only be surgically improved by a combined effort of debulking the lower lid bag, midface lifting and release of the retaining ligaments. A midface lift will also stretch the loose tissues in the cheek, reducing the risk of excess fluid collection.
When addressing swollen mounds on the cheek, the goal should be to flatten them. By putting fillers in or around festoons and malar mounds, they become fixed outward and in an elevated state.
Facelift. For more substantial correction, the facelift can improve the appearance of malar bags by repositioning the underlying fat deposits and tissues. This can help create a better contour and also tighten any sagging skin in the area.
Do not use this medicine in or around the eyes or lips, or inside of the nose. Spread the medicine away from these areas when applying. If it accidentally gets on these areas, wash with water at once. Before applying tretinoin, wash the skin with a mild soap or cleanser and warm water by using the tips of your fingers.
Retinol is best applied at night since it can increase your skin's sensitivity to the sun. When you do go outside, be sure to use sunscreen to protect your face. It's worth noting that you don't need to use retinol on a daily basis for it to effectively treat your acne. Even two to three times per week might be enough.
“If the retinol you're using is too strong for your skin causing inflammation, darker skin tones may have a higher risk of discoloration, or hyperpigmentation, from the use of it," she adds. Dr. Icecreamwala recommends starting with a retinol that is 0.3 or 0.5 percent.
Blepharoplasty or eyelid surgery can remove excess skin and fat deposits to smooth the contour of your lower lid and upper cheek area. It can help to tighten skin and reposition fat pads in order to create more aesthetically pleasing curves and enhance the appearance of your eyes.
Malar bags do not get better when you squint and contract your lower eyelid muscles. Festoons are also different from the “bags” under ones' eyes. Bulges immediately below the eyelashes of the lower eyelid are caused by collections fat deep to the lower eyelid muscle.
Fillers can be useful in many parts of the face, but should not be used in the area of the malar mounds or eyelid festoons.
Radiofrequency Micro-needling. Dr. Sabrina Shah-Desai has extensive experience with this energy based treatment since 2016 and finds a course of 3 treatments every 4-6 weeks is highly effective in reducing excessive skin laxity & tightening the “ptotic” malar fat by 30-75%.
Taking advantage of these latest advances in laser application and wound healing makes it possible to dramatically improve the festoons condition. When utilized along with lower eyelid surgical rejuvenation, the procedure leads to a more natural and complete revitalization of this expressive part of the face.
Common causes of cheek swelling on one side include: tooth abscess. facial injury. salivary gland tumor.
Using Retin-A for many years can improve the collagen and elastin levels in the skin, which can help correct a main cause of many Malar Mounds and Festoons—namely, damage to the skin over time from the sun.
If your festoons or malar bags worsen after the injection, this indicates that aging in the muscle has led to laxity around the eyes and upper cheeks. However, if the Botox injection doesn't alter the appearance of your malar bags or festoons, then your condition is being caused by localized fat.
Festoons may consist of nothing more than overhanging skin, or they may include accumulated fluid beneath the surface. There may also be a degree of fat that has become displaced at the upper cheek or malar area. A person may develop festoons as a side effect of allergies or chronic sinus problems.
Engelman agrees: "Retinol is the most potent ingredient that helps build collagen and elastin, which leads to tighter, smoother skin."This mixture has the added bonus of hyaluronic acid, which "can smooth, firm, and tighten the appearance of the skin," Dr. Bowe says.
Retinol also stimulates collagen production, which is another way it diminishes dark spots. “Collagen helps promote skin cell turnover, which helps peel and fade away dark spots,” says Dr.
It can “treat fine lines, boost collagen production, and brighten and smooth the skin,” he says. It's suited to anyone with a normal to dry skin type. SkinMedica Retinol Complex is another highly rated option.
While Vitamin C serum predominantly protects your skin from damage, retinol serum actively heals the damage on your skin. Vitamin C serum protects the collagens while the Retinol serum helps in cell turn over thereby creating new collagens.
A formula with retinol, like the L'Oréal Paris Revitalift Triple Power Eye Treatment, should be applied after your serums and before moisturizer due to its consistency.
Don't Mix: Retinol with vitamin C, benzoyl peroxide, and AHA/BHA acids. AHA and BHA acids are exfoliating, which can dry out skin and cause further irritation if your skincare routine already includes retinol. As for benzoyl peroxide and retinol, they cancel each other out.
Malar edema: Fluid that collects over the malar eminence, below the level of the infraorbital rim. Malar edema often varies in severity; it may be more noticeable after a salty meal and sometimes has a slight bluish discoloration. 2 The presence of pitting on examination is evidence of edema.
SAN FRANCISCO — The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according to a study.
Laser resurfacing can remove festoons without the risk of scarring. Unlike other treatments, laser resurfacing provides long-term rather than temporary results.