Clinical case presentation
Objectives: 1. Aesthetic concerns and complications in under eye region may require both direct and indirect treatment interventions.
2. Cases of intrinsic malar oedema or iatrogenically derived malar oedema are challenging for practitioners.
3 Each case presentation requires a bespoke treatment strategy.
Introduction: Malar oedema presentations are common submissions to IMCAS Alert and invariably the subject of much discussion among responding colleagues.
Management in each case is invariably founded on patient history & examination followed by a nuanced appreciation of regional anatomy & consideration of past aesthetic treatments.
Materials / method: The dynamic of IMCAS alert submissions is essentially an often intense interaction amongst collegiate responders and the submitting author.
Generally a broad management consensus evolves out this expert interaction with the objective of assisting the author with the case that has been submitted.
Results: In this case submission the consensus formed 2 parts:
1. Direct management of the malar oedema
2. Management of the associated cheek insufficiency
Excellent collegial suggestions were directed at assisting the submitting author by addressing both the above issues.
Conclusion: Contemporary management of the under eye-cheek aesthetics requires a thorough anatomical knowledge base along with highly selected treatment options in a region of tricky tissue dynamics.
The immediate under eye region is tightly aligned in tissue planes and at least in the superficial tissue plane complicated by sluggish lymphatic drainage issues.
Nevertheless, treatment strategies for complications and management challenges can be formulated to the benefit of the patients and their attending practitioners.
