The ageing process has significant effects on facial structures at the level of the lower lid and malar complex. It contributes to psychological concern and self-perception [
1]. Attenuation of skin, muscle, and ligamentous tissue leads to malar descent, lower lid stretch, fat prolapse, and extracellular oedema. Such changes are associated with the development of malar oedema. Malar festoons represent a more progressive and severe variant with overhanging and redundant skin also forming in this area. …