LAM FACIAL PLASTICS

can anything be done about malar edema. My doctor said that I have water retention and not fat. He said nothing can be done. However I came upon a few articles where excess muscle/skin can be excised and tension placed upon the area effectively effacing the festoon.

what is your opinion on this dr.lam?

I actually graded these types of malar bags in my book, Complementary Fat Grafting. Low grade malar bags have just recurrent swelling but no abnormal skin. A high grade malar bag has both recurrent swelling and abnormal overlying skin. With low grade malar bags that really only swell and look abnormal in the morning, it is not a good idea to cut them out. you will probably just leave a scar but not solve the problem. there is not a great answer for this type of bag. for an advanced type of bag with bad overlying skin, removal of it is probably the best bet. i have attached a result of a gentleman whose bags i had to remove.