Malar bags, festoons and under eye bags
Malar bags sit on the upper cheekbone, below the lower eyelid. They are different from classic under eye bags, which are caused by fat pushing forward behind the lower lid.
Malar bags and festoons are caused by fluid, laxity and fat in the upper cheek. They often get worse in the morning and are hard to treat with fillers, which can make them heavier. Endolift® tightens the tissue and reduces fat without adding volume.
Who it suits
May suit you
- Puffy pads on the upper cheek
- Mild festoons
- Crepey skin in the area
- Want to avoid surgery
Usually better treated another way
- True lower lid fat bags (blepharoplasty may be best)
- Very large festoons
- Dark circles from pigment or hollowness
- Active eye or skin conditions
Treating under the eyes is assessed case by case. Dr Seth teaches this area on his advanced training courses for doctors and will tell you honestly whether it is right for you.
Price
- Malar bagsBoth sides, single face area£1,500
- Full faceIncludes malar bags, cheeks, jowls, chin and neck, plus HIFU£2,500
Recovery
The eye area tends to swell more than other areas, so plan for several days of visible puffiness. Sleeping with your head raised and cold compresses can help. Read the full recovery guide.
Common questions
Can Endolift treat under eye bags?
Endolift can treat malar bags and festoons on the upper cheek in selected patients. True lower lid fat bags are usually better treated with blepharoplasty. Dr Seth assesses this case by case.
How much does Endolift for malar bags cost?
Malar bags are a single face area at £1,500. They are also included in the full face treatment at £2,500.
Is it safe to treat near the eyes?
In experienced hands, with the eyes protected and careful technique, the area can be treated safely. It is an advanced area, so choose a doctor with specific experience.

