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Peer-Reviewed Publication
J Craniofac Surg2026May 21, 2026Journal Article

Contours and Confusions: A Review of Malar Mounds, Malar Edema, and Festoons.

Nicole Qx Quah1, Daniel G Ezra1,2
1Moorfields Eye Hospital, London, UK.
2The Ezra Clinic, London, UK.

Abstract

Malar bags, including malar mounds, malar edema, and festoons, represent a spectrum of conditions which pose both aesthetic and therapeutic challenges. Their overlapping anatomy and multifactorial etiology complicate diagnosis and treatment. This review aims to evaluate the current understanding of these terms, propose their clinical characteristics and pathophysiology, and evaluate approaches to…

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