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There is an excess of:
Occur in everyone past the age of 45-50.
Sometimes it occurs in much younger persons, generally as a hereditary trait.
They are located on the malar eminence and are not “bags”
When patients have an impaired ability to make tears, an ophthalmologist needs to be consulted because a lower blefaroplasty can exacerbate this condition.
Fat herniates through the septum.