Malar bags are swellings or pouches that can form under the lower eyelids. They are sometimes called tear trough deformities, periorbital puffiness, malar edema, malar mounds or secondary bags. They can be an excess fluid collection or fluid accumulation that creates mild swelling, skin and fat compartments along with skin laxity.
A malar mound can be genetic, meaning they run in families, or they can result from ageing, sun damage, or as we are seeing due to dermal fillers or other factors.