Direct Excision of Malar Bags: Back to the Basics.

[INTRODUCTION] The pursuit of periorbital rejuvenation to counteract signs of aging is a focal point in cosmetic surgery, with eyelid surgery being a prominent choice among patients. Addressing inferior blepharoplasty, especially in cases involving chronic malar edema, malar mounds, and festoons, presents unique challenges. The terminology and classification of these conditions vary, hindering effective management. In this study, we use the term "malar bags" to encompass the spectrum of fluid-associated mounds over the malar eminence.

[OBJECTIVES] This study aims to demonstrate the effectiveness of direct excision as a surgical choice for treating the aesthetic concerns associated with malar bags.

[MATERIALS AND METHODS] A retrospective study was conducted on 53 patients who underwent direct excision of malar bags between 2013 and 2023 at our clinic.

[RESULTS] No major complications were encountered, overall high level of satisfaction for both patients and surgeons.

[CONCLUSION] Direct excision of malar bags proved to be a safe and effective technique, yielding satisfactory results in terms of both aesthetic outcomes and patient satisfaction.

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