Glossary

Malar oedema:
what the term means

Medically reviewed by Dr Sin Yong · Last reviewed · 4 min read

Published 9 October 2026 · Reviewed by Dr Sin Yong

Illustrative model studying her face in a brass mirror by a window — not a patient

Malar oedema is swelling from fluid collecting in the upper cheek just below the lower eyelid, in a compartment that drains poorly. It can occur on its own, and it is a recognised problem after under-eye or cheek filler, particularly when product sits above the malar septum or in larger volumes. It is often worse in the morning.

Key facts
Where
Upper cheek below the lower eyelid
After filler
Risk rises with higher volume and placement above the malar septum (Baranska-Rybak 2026)
Pattern
Often worse in the morning, after salt or alcohol
Not the same as
A fat bag behind the orbital septum, or a festoon of lax skin and muscle

The full guide: under-eye filler swelling and puffiness.

Frequently Asked Questions

It can be. Filler placed above the malar septum, and larger volumes, increase the risk. It can also occur without filler.

References

Baranska-Rybak W, Lajo-Plaza JV, Walker L, Alizadeh N. Malar oedema after hyaluronic acid dermal fillers: expert recommendations on aetiology, prevention and management. Dermatol Ther (Heidelb). 2026. doi:10.1007/s13555-026-01920-w. source

Funt DK. Avoiding malar edema during midface/cheek augmentation with dermal fillers. J Clin Aesthet Dermatol. 2011;4(12):32-36. PMID 22191006. source

Wilde CL, Gupta A, Lee S, Ezra DG. Tear trough filler using the three-point tangent technique: lessons from 1452 tear trough applications. Plast Reconstr Surg Glob Open. 2023;11:e5060. doi:10.1097/GOX.0000000000005060. source

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