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Ask Dr. Yang any questions about facial plastic surgery, including facelifts, necklifts, eyelid surgery (blepharoplasty), browlifts, otoplasty, and non-surgical treatments such as Botox and injectable fillers.
Hello Dr Yang
I have had a Concentric malar lift as described http://www.lelouarn.net/us/index.php?page=interv_paup and http://www.ncbi.nlm.nih.gov/pubmed/15645338,
performed not by the author but by another well known surgeon.
After 5 month, I still have swelling (small fluid bags) where cheek meets the lower lid. The swelling fluctuates: always worse in the morning and getting better later during the day. One side is worse then the other. Some days I am almost content with the results of the surgery(no bags , cheeks lifted, very little swelling), other days I look like bad allergy sufferer.
I already had 3 diluted steroid injections – very little help. My surgeon suggested to wait as swelling not really really bad( I would rather have my old little bags back than constant little swelling to be honest).
Last week I’ve developed bright red spots where the fluid bags are and though that it was eczema. But my GP told me that she thinks it is a reaction to what was inserted 5 month ago and it has to be removed. I’ll see my surgeon in 2 days. I am horrified. Any thoughts /suggestions please.
I don't know the reason that you had the cheek lift, but if it was for malar festoons or malar bags this may be why you are having this problem. IF you had a still malar bag prior to surgery, the surgical manipulation of the area, maybe causing even more swelling of the bags than prior to surgery. Malar festoons/bags which have a tendency to swell is condition which is very difficult to treat, and most surgeons will just say that there is no solution rather than try to treat them unsuccessfully, or potentially making the problem worse.
I don't know what is causing the red spots, hopefully a follow up examination by your surgeon, will be helpful. I will email you a separate link about malar bags. This is one thing that we have not found a reliable solution.
Thank you very much Dr Yang for your help.
I’ve done the surgery to correct lower lid bags. I did not have malar bags before. I just wanted transconjunctival blepheroplasty, but my surgeon talked me into his “very successful” mid face lift. I am the lucky one: I don’t have scarring or retraction of the eyelid. Managed to see my surgeon today: he suggested to keep waiting, using high pillow, sleeping on my back, ice pack.
He promised in 5 mon , the bags will go away.
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