Updated Management of Malar Edema, Mounds, and Festoons: A Systematic Review

C. Ian Newberry*, Hilary McCrary, J. Regan Thomas, Eric W. Cerrati

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


To deliver a natural, aesthetically pleasing periorbital rejuvenation, restoration of the youthful lid-cheek junction and malar eminence is often essential. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. Treatment must be individualized based on extent and content. This scoping review updates the audience on the anatomy, pathophysiology, and evaluation of malar bags in addition to the latest literature regarding minimally invasive intervention and surgical refinements. A modernized treatment algorithm is proposed. Level of Evidence: 4:

Original languageEnglish (US)
Pages (from-to)246-258
Number of pages13
JournalAesthetic surgery journal
Issue number3
StatePublished - Feb 17 2020

ASJC Scopus subject areas

  • Surgery


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