Malar bags, also referred to as malar oedema, are areas of swelling and puffiness between the eyelids/eyebags and the upper cheeks, usually sitting just to the outside of this area.
Malar bags are often hereditary contour irregularities that can be further associated with dietary and environmental issues. These can include a relationship to salt intake, alcohol consumption, sleep deprivation and a range of other factors.
They have been notoriously difficult to improve surgically and non-surgically and various treatments have been tried over the years. More recently, there has been success using doxycycline injections. Doxycycline is a commonly used antibiotic for a variety of infections, but in addition, it also has other properties, one of which is sclerosant effects. This means that it causes localised inflammation and scarring, and in some people, this has had a beneficial effect on malar bags by getting the bags to adhere to the deeper tissue.
Doxycycline is injected directly into the malar bags sometimes after the application of local anaesthetic cream or local anaesthetic injections.
Immediately after the treatment there will be redness and swelling as well as possible bruising. These appearances tend to resolve after a week. Cool packs or compresses may help after the injections once you are home.
Allergy to the injections is not common but possible and infections are also uncommon. Rarely vascular occlusion can occur (blockage of a blood vessel) that could result in scabbing to the skin and scarring in the area. This will be signified by immediate severe pain and changes to the colour of the overlying skin. If you notice any of these symptoms please contact the clinic immediately.
Anaesthetic
Local anaesthetic can be given before treatment.
Procedure Length
30 minutes
Areas
Under Eye
Frequency
For the best results, up to 3 doxycycline treatments might be needed, around 6-12 weeks apart, and with annual maintenance treatments in the future.
Downtime
Normal ‘light’ activities may be resumed immediately following the treatment, exercise after 24hours.
Cost
£350.00
Anaesthetic
Local anaesthetic can be given before treatment.
Procedure Length
30 minutes
Areas
Under Eye
Frequency
For the best results, up to 3 doxycycline treatments might be needed, around 6-12 weeks apart, and with annual maintenance treatments in the future.
Downtime
Normal ‘light’ activities may be resumed immediately following the treatment, exercise after 24hours.
Cost
£350.00
Doxycycline treatment for malar bags aims to improve the appearance of persistent swelling or fullness beneath the eyes that is due to fluid build-up in the undereye area.
Some patients notice gradual improvement over several weeks as the treatment takes effect.
Depending on the cause of your concerns, alternative treatments may include lower eyelid surgery, skin tightening procedures, fillers or other specialist treatments.
A consultation at Purity Bridge can help identify the most appropriate option.
You may experience temporary swelling, tenderness or bruising following treatment.
Your clinician will provide detailed aftercare advice and explain what to expect during recovery.
Malar bags are areas of swelling or fullness that develop over the cheekbones beneath the lower eyelids.
They are often different from traditional eye bags and may require specialised treatment approaches.
Suitability depends on the cause and severity of the malar bags, as well as your medical history and treatment goals.
A detailed assessment is essential before treatment is recommended.
The treatment itself is relatively quick and is usually completed within a single outpatient appointment.
A course of treatments may be needed for full benefit of doxycycline treatment.
Improvement is often gradual rather than immediate.
Your clinician will discuss realistic expectations and the timeframe for potential improvement during consultation.
Results vary between individuals, and some patients may require additional treatment over time.
The longevity of improvement depends on several factors including the underlying cause of the malar bags.