Age-related type
Involves progressive degradation of the skin’s structural protein, collagen. The natural process of ageing brings it about, which affects how the tissue moves and accumulates fluid in the cheeks.
Malar bags, also known as malar mounds, are distinct soft tissue swellings that develop on the upper cheekbones, just below the delicate under-eye area. They can create heavy shadows on the mid-face, sometimes causing an unintentionally tired or aged appearance that may affect your self-confidence. At Abela Medical in Leeds, our doctor-led team provides thorough clinical assessments and a range of considered treatment options to help manage these swellings and restore a naturally refreshed look.
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This is a common facial condition. It occurs when skin and underlying supportive structures lose their elasticity. That is why this structural shift leads to fat descending and fluid accumulating over the cheekbones, often due to sluggish lymphatic drainage.
This condition is usually found on the malar prominence, located lower than under-eye bags. You should therefore visit us for a professional assessment of your specific facial structure and skin type.
There are various kinds of this problem:
Involves progressive degradation of the skin’s structural protein, collagen. The natural process of ageing brings it about, which affects how the tissue moves and accumulates fluid in the cheeks.
Refers to an early form of tissue puffiness or descent. It happens when genes dictate malar prominence in younger people, causing their cheeks to swell.
With age, the body’s ability to produce collagen and elastin decreases. As this degeneration progresses, the skin loses its structure and elasticity, along with supportive tissue, causing sagging fat pads beneath the skin.
Due to the area’s physiology above the cheekbones, fluid tends to flow poorly through this region. Fluid retention in the skin tissue increases the puffiness associated with this condition.
How your mid-face ages depends largely on your bone composition and genetics. You are at greater risk of this problem if it runs in your family, as your genes increase the likelihood of it developing.
Exposure to sunlight impairs the body’s ability to produce healthy proteins in the skin. This thins the skin in the eye and cheek areas, making the underlying fat pads and fluids more prominent.
Factors that cause fluid retention in the body, such as smoking, sodium-heavy diets and insufficient sleep, may contribute to the appearance of malar mounds.
Malar bags are a cosmetic concern rather than a medical issue. They are typically identified by the following characteristics:
You cannot alter your genetics or stop ageing, but you can support your skin’s health and manage fluid retention with these practical steps:
Use a broad-spectrum, high-SPF sunscreen to prevent UV damage to the skin’s collagen and elastin.
Maintain a healthy, well-rounded diet with controlled salt to minimise water retention.
Use an additional pillow to promote adequate lymphatic drainage while you sleep.
Smoking impairs circulation and accelerates the degradation of the skin’s structural support.
Incorporate light massage to encourage fluid movement away from the cheekbones.
If malar bags affect your self-confidence or leave you feeling perpetually tired, please contact our all-female medical team. You will be offered professional advice to help you find the most appropriate treatment for you.
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