Some of my lower eyelid surgery Houston patients will present not only with the classic bags under the eyes, but also with festoons or malar bags.  It is important to correctly diagnose these patients as the treatment for these patients is different than those simply with lower eyelid bags due to fat pseudoherniation.  

Festoons are excess skin below the eyelid fat and can usually be seen around the cheek region.  Malar bags are areas of edema or swelling in and around the same region.  While festoons can be directly excised this is not recommended for malar bags for aesthetic reasons.  Both can be treated with an extended blepharoplasty.

With this lower blepharoplasty, an incision is made just below the lash line and the lower eyelid skin and muscle are elevated to address the bulging fat or "under eye bags" and then extended past the festoons and malar bags.  This entire flap is then suspended and the eyelid is tightened to the orbital bone.  This allows for a smoother and rejuvenated lower eyelid.

Dr. Funk performs lower eyelid blepharoplasty in Houston Texas.