How to treat festoons If you would like a more information, please visi Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. 1 Many different surgical While surgery is a common approach for removing festoons, there are several non-surgical methods that can help reduce their appearance. These puffy, swollen areas on the upper cheeks can create a tired or aged appearance. It would be possible for today’s surgeon to learn this, but most don’t Festoons and eye bags, which are closer to the lower eyelid, can sometimes merge into what looks like a single mass below the eye. Adam Scheiner combines a lower eyelid lift with a laser treatment to treat dark and puffy bags, or festoons, under the eyes. See the video and link below for more details. The festoons are even more noticeable now than in the photos above taken before surgery. Contact us at 314-567-3567 to schedule your visit. If your skin has sun damage then we can often make a difference with laser. I'm not a fan. “Bipolar radiofrequency microneedle devices have been reported to improve periorbital wrinkles by increasing collagen and elastic fibers in the areas of treatment. While mild cases may respond to non-surgical treatments, surgery is often required for severe festoons. This may involve medication management, lifestyle modifications, or therapeutic interventions to manage thyroid dysfunction, rosacea flare-ups, or sleep apnea symptoms effectively. Jul 8, 2024 · Festoons can significantly impact an individual’s self-confidence and quality of life, but with advancements in cosmetic surgery and proper post-operative care, effective treatment options are available. Sterling Baker, I now have a sophisticated, technically-challenging but effective treatment for festoons and malar mounds. Adam Scheiner The Doctors Laser Skin Resurfacing Under Eye Bags Festoons Eyelid Lift Blepharoplasty Mar 21, 2017 · Although a complete evaluation would need a personal exam, from your pictures I think that what you have is lower eyelid fat bags and not malar festoons. Surgical excision of the festoon for moderate to severe festoons. Although I haven't used the Tetracycline technique myself, it does seem similar to the cautery and new Thermi treatment in that it used to create an injury below the skin in the area of the festoon / malar mound. Therefore, the treatment for this condition varies depending on the underlying cause. Festoons • Treatment is often difficult and ranges from surgical to non -invasive modalities • Iatrogenic malar bags 2/2 HA filler – 1st consider hyaluronidase injection • Intralesional doxycycline injections are a promising minimally invasive treatment option for malar edema and festoons Aug 1, 2022 · Festoons are very common and are challenging to treat. Overusing vinegar can cause dryness or irritation, so it’s important to listen to your skin and adjust your routine accordingly. Festoons are a common aging problem that can make you look tired and worn down, even though you feel great on the inside. . The patients who make the most dramatic improvements are the ones who have the worst festoons that you can directly excise them and they will look better. They can also be exacerbated by conditions such as allergies and sinus problems. This treatment combines RF technology with microneedling to improve overall skin tone and texture. Wulc’s explores the latest advancements in treating m The treatment in the video was moderate and will address fine lines, superficial wrinkles, dark circles and festoons. Treating Festoons Under the Eyes. This Face Yoga class helps to reduce and prevent this swelling. Our experienced team offers several treatment options, including: May 3, 2022 · How do you get rid of festoons without surgery? Botox and steroid injections can also be used to treat festoons if the cause behind them is due to muscle laxity or excess fatty tissue. lower lid blepharoplasty is one of the most common surgical approaches to treat this problem, but this surgical technique doesn’t treat festoons - one of the Learn how to fade malar bags naturally with these tips and tricks. Depending on the severity of the case, treatment cost of festoons is approximately $5,000. Scheiner, MD, an international eyelid and facial cosmetic surgeon specializing in the treatment of Festoons and featured on “The Dr. Furnas in 1978 referring to persistent puffiness in the prezygomatic space [1]. Jul 1, 2024 · Treatment Options at Tampa Bay Cosmetic Surgery Center. A full-face, moderate treatment is $1000. Absolutely! I had tear trough fillers and had an onset reaction (some 12 months later) and had to have filler removed. Below are the patient’s photos before and after, correcting both the lower eyelid bags and festoons. Pre- and postinjection photographs were reviewed and graded on a scale of 0 to 3 (0: no festoon; 1: small festoon; 2: medium festoon; 3: large festoon) by 2 masked physician observers. These techniques aim to do three things: 1. Oct 3, 2023 · Festoons can be challenging to treat, and only a trained and certified professional should do as it is readily mishandled with either an overcorrection or an under-correction. Jan 16, 2024 · The superolateral cheek can have a tendency to develop festoons, which are a product of soft tissue laxity and fluid accumulation. Sterling Baker, the pioneer of laser eyelid surgery based in Oklahoma City. Laser skin resurfacing, volume replacement (fat or filler injections), and lower eyelid lift surgery are often used to minimize or eliminate the festoon. We offer a variety of cutting-edge treatments designed to effectively manage and treat malar festoons and big eyelid bags. It make Jul 25, 2024 · Feeling tired and aged due to puffy under-eyes and sagging cheeks? You’re not alone! In this video, Dr. Jan 24, 2014 · What is the difference between “bags” and festoons? For a malady that’s as common to aging as waning vision, festoons—also called “malar mounds”—aren’t well understood by the public, says Adam J. Festoons or malar mounds are a very difficult cosmetic problem to solve. The most successful way to reduce or eliminate festoons involves a combination of procedures. I have quietly built my skills over the past 17 years so that now I have extensive experience treating festoons and malar mounds with lasers. festoons treating lower eyelid and puffy under-eye festoons with injectables under-eye bags are one of the most common signs of aging that effects both men & women. May 4, 2019 · Treatment must be individualized based on extent and content. Dr. I think the reason why many doctors don’t treat festoons is because they are inexperienced with using lasers to treat them. A major anatomic basis for the appearance of festoons seems to be the downward descent of tissues superior to a lax ORL and orbicularis muscle against the resistance of the stronger lower border, effectively creating a surface trough. Oz Show, treatment for festoons can be easily performed with the Sciton Contour laser. Although under-eye bags commonly occur as part of the natural-aging process, once these eye changes become evident, men and women look for ways to decrease their visibility. How to Treat Festoons without Surgery • 19/02/2025 23:23 Festoons, also known as malar bags or cheek bags, are sagging or swollen skin protrusions that develop under the eyes and extend to the cheeks. Nasty things. One way to reduce the appearance of festoons is through regular facial exercises. The lymph system is your body’s natural way of removing toxins and preventing fluid build-up. Skin resurfacing laser treatment can reduce the size of festoons and rejuvenate the lower eyelid and upper cheek regions of the face. Are you curious to know about those natural malar festoons treatments? If yes, here are some. Festoons are characterized by a combination of loose skin, fat protrusion, and muscle Festoons present a challenge as they can exacerbate existing lower eyelid pathology and often recur after surgical treatment. Thank you for your question. Patients were excluded from the final analysis if they received an alternate dose Nov 14, 2018 · Malar bags are those under-eye bags beneath the bags that you might already have. Whether you are dealing with drooping eyelid skin, bags under the eyes or the puffy skin on the cheekbone known as festoons, […] Eye bags, malar bags or / and festoons. If the festoons are moderate, patients can profit from radiofrequency microneedling treatments. Festoons Treatment of festoons Correction of festoons Introduction The word ‘‘festoons’’ was first described by Dr. Festoons are composed of lax skin and orbicularis muscle that hang between the medial and lateral canthi, and the pathophysiology is likely multifactorial; some of the proposed mechanisms suggest stretching of the orbitomalar ligament and lymphatic imbalance. They are usually more noticeable during the morning hours after sleep. Nd:YAG lasers can improve lymphatic circulation and reduce fluid accumulation. No adult wants to look older than his or her age, but sagging lids or puffy bags can significantly age your face, making you seem older or more tired than you actually are. Malar bags vs festoons: What is the difference between the two? While they may appear similar and are often confused with lower eye bags, it's important to note that malar bags and festoons are distinct conditions. they take on water and swell. If this is confirmed during your exam a lower eyelid trans-conjunctival blepharoplasty would solve the problem and a mid- face filler would add volume to the areas needed to blend the cheek Feb 1, 2021 · Earlier I posted a video of the CO2 CoolPeel laser treatment to reduce the festoons under my eyes. What are the overall and the . You have festoons, which are particularly challenging for doctors to treat. Many people seek help from cosmetic surgeons who try to conceal them with injectable fillers. To achieve lasting improvement, treatments must target both the skin (dermis) and the underlying sub-dermal structures. Addressing festoons, malar mounds, and malar bags requires a customized approach based on the severity of the condition and the patient’s aesthetic goals. I then revised and enhanced that treatment over the last 10 years in my practice to the effective treatment it Festoons can be caused by a variety of factors, including genetics, aging, sun damage, and smoking. A single Laser Resurfacing procedure: This is new video by the Vitalitist from 2022. Now with these photos, you see what I looked like pre and post-procedure. They remain a difficult entity to treat. they are horrid. And how to prevent, treat or get rid of them. Most doctors will not treat them at all, or will perform a lower lid blepharoplasty using a scalpel. Our award-winning, board-certified oculoplastic surgeon, Dr. For ophthalmologists—especially oculoplastic surgeons—accurate diagnosis and familiarity with both nonsurgical (e. I see a facial plastic surgeon and she puts the filler in that area deeper than normal to fill in the line. These include midface lifting, lasers, topical treatments, and direct excision. Bottom line: The only way to effectively eliminate festoons is with Dr. In general, surgeons treat festoons as just one entity. Laser treatments have been shown on The Doctors and Doctor Oz for treating Festoons. A skilled injector will always know when they shouldn’t treat a patient and this is even more important when it comes to injectables for festoons, so going to a highly qualified practitioner is essential for a great treatment outcome. We will describe the treatment options to achieve optimal skin health. , tetracycline injections) and surgical The focus of treating festoons involves addressing the laxity of the orbicularis retaining ligament along with redistribution of muscle, skin, and fat within the lid-cheek junction. In my experience, the only definitive treatment is direct excision. Festoon treatment can correct the root causes of malar bags and festoons to improve the appearance of your lower eyelids. These may or may not be caused by a prior filler treatment to the area. Feb 10, 2022 · Patients with festoons are much more challenging to treat than those with normal under eye bags. Many doctors are unaware of contributing factors or are afraid to treat festoons because of the high failure rate in. Malar Bags and Festoons. Malar festoons can be difficult to treat. Are there surgeons that specialize in malar festoon correction, and if yes, would you have any suggestions for southern Wisconsin, Chicago area? Jul 11, 2023 · Malar bags, also known as festoons, refer to the swelling or bags that develop in the area between the lower eyelid and the upper cheek. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day. This scoping review updates the audience on the anatomy, pathophysiology, and evaluation of malar bags in addition to the latest literature regarding minimally invasive intervention and surgical refinements. Mar 11, 2020 · 6025 4th Street North, St. Festoons; Festoon Surgery. Many doctors struggle treating this condition. Understanding the causes and characteristics of festoons is crucial for choosing the right treatment method. What causes Festoon Eye Bags? Festoons are caused by a combination of factors, including: Along a similar vein, the idea that the difficult-to-treat medical condition of Malar Mounds and Eyelid Festoons can be addressed with a non-medical natural remedy is enticing to contemplate, but at this point in time it isn’t very realistic. May 10, 2022 · Typically, fillers cause swelling which can worsen the appearance of festoons and so in nearly all cases, they are not an effective treatment for malar bags as the hyaluronic acid can make the issue more prominent. The ultimate goal is to effectively improve these with a method that is minimally invasive and with the least recovery time. Dallas Eye Bags Treatment & Surgery Specialist. Festoons have the appearance of a “swag” in the skin texture on the cheek directly below the eye. They are characterized by a prominent bulge that creates a shadowing effect, leading many to seek effective treatment options. Thanks to the initial work of Dr. I’ve outlined the lower lid bags and festoons on the patient prior to surgery in the first picture. In this Medical Minute, Dr. Malar bags are different from festoons. Apr 2, 2025 · Your doctor may recommend the following surgical and non-surgical procedures for the treatment of malar bags: Fillers. He offers patients in Philadelphia—and nationally– effective and innovative treatments. Fortunately Malar bags also known as festoons are a swelling which we often see in the under eye area. They are difficult to treat. Surgical interventions, such as lower eyelid surgery or mid-face lifts, are often recommended to address festoons effectively. Whether you want to prevent, reduce, or have had a surgical treatment, expl Festoons Malar mounds Malar edema Malar bags Lower eyelid Tetracycline Doxycycline KEY POINTS Festoons are also referred to as malar mounds and malar edema. This category focuses on addressing common concerns such as sagging cheeks, fine lines, wrinkles, and hooded eyelids. Bags and festoons often occur together, but some patients may have one or the other. Jan 19, 2024 · A dermatologist and plastic surgeon weigh in on treatments for festoons like surgery, Ultrasound and radio frequency. In regards to treatments to improve festoons, the first involves timing. However, the most common and effective treatment option we recommend is SOOF Lift treatment combined with a form of skin resurfacing such as a peel or laser May 3, 2019 · However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. By restoring elasticity and providing essential support, these procedures address the root cause of festoons. No nonsurgical treatment cu … Dec 17, 2014 · Treatment involves a combination approach that addresses each of the underlying causes of the problem. Festoons, also known as malar bags, are one of the most difficult facial cosmetic concerns to treat. Another important component that needs to be addressed is the presence of atypical clusters of fat cells in both the The last treatment option for significant amounts of excess skin associated with festoons is surgical excision of the folds. Guy Massry has found that there are actually two different kinds of festoons: Dry festoons – overhanging skin Revolutionary Laser Skin Resurfacing in Tampa Bay Area Transforms Festoons. If you’re experiencing festoons or mid-face puffiness, our expert team can guide you through the most effective treatment options. Dec 17, 2024 · To treat festoons without surgery, engage in facial exercises, perform facial massages for lymphatic drainage, apply cold compresses to lessen swelling, and use targeted eye creams. There are two different ways of improving festoons with surgery. g. What are the ways to treat malar festoons. Results may last for several years particularly if the patient stays out of the sun. May 31, 2023 · Addressing festoons is a multi-prone approach for us. , festoons) frequently develop. Kpodzo, Nahai, McCord, Pessa, and Garza about the importance of ligamentous release (ORL and ZCL) in treating malar mounds and festoons [17, 19]. If the skin is in excess a lower lid blepharoplasty surgery is an option. In this procedure, an incision is made in a May 9, 2015 · In this Medical Minute, Dr. Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. The treatment of festoons thus must be multifaceted and address both the periorbital area and mid-face. Options include direct excision which can leave a significant scar, steroid injection which can cause atrophy, laser resurfacing which is usually only minimally effective and Doxycycline injections which a few doctors have found to be successful. The aging process plays a significant role in the development of festoons. Recently seen on The Dr. Learn about the causes, nonsurgical and surgical treatments, and before and after photos of malar bags. This helps raise the skin so that the malar area doesn’t jut out abnormally. Treatment with the device was safe, the festoons haven’t recurred and the patients noted an added benefit of overall rejuvenation of their lower lid complex, according to the paper. If you w Feb 23, 2022 · Festoons are also referred to as malar mounds and malar edema. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. Effective Treatment Approaches. e. Three recent studies focused on the use of antimicrobials in the treatment of malar mounds and festoons. Festoons have been much more challenging to treat, as surgery and ablative lasers were more invasive and not always effective. May 10, 2023 · Combat the visible signs of aging and rejuvenate your skin naturally with expert advice and practical solutions. It can occur due to a combination of skin laxity, drooping and protruding fatty tissue, and fluid collection. She elected to proceed with bilateral lower eyelid surgery and festoon treatments along with a full face Croton Oil / Hetter Facial Peel Procedure. Options may include surgical excision, laser resurfacing, and injectables. Identifying Festoons […] Apr 10, 2024 · Non-surgical Cosmetic Treatments for Festoons Venus Viva (RF) Radio Frequency Resurfacing. Apr 14, 2019 · Congratulations on your weight loss! Festoons can be difficult to treat. But beware. Festoons can be challenging to treat, but with advanced non-surgical solutions, noticeable improvements are possible. Making some lifestyle changes and trying simple exercises can create an impact on your malar festoons or malar bags. Chernoff surgical approach not only removes the underlying excess tissue and fat that causes the festoon but also helps to shrink the tissue over time to improve the May 5, 2014 · There do exist certain inherited forms of lower lid festoons but most are related to sun exposure over time. 1070 Park Avenue New York, NY 10128 +1 (212) 203 A quick Google search on Festoons treatment— how to get rid of them — can quickly lead you down a rabbit hole of suggestions. Learn how to treat festoons, marionette lines, and chin creases without surgery, and explore natural remedies to improve skin elasticity, boost blood circulation Jun 29, 2021 · Festoons, also known as malar pads, festoon eye bags, and malar fat pads, can detract from an otherwise attractive appearance. While fillers and surgery are commonly used for malar bags, treating festoons may involve a combination of approaches. They often occur with age and are more common in people with lighter skin types. Her lids and cheeks look younger and smoother, (note: pinkness fades in a few weeks). Understanding Malar Bags and Festoons. Jul 17, 2024 · A common sign of aging, malar bags and festoons can affect both men and women, often causing a tired and older appearance. Festoons can result in a tired or aged appearance, causing individuals to seek surgical solutions. Treatment options for festoons include laser therapy, direct excision, and midface lift; elected therapy is based on the severity of the condition [1]. However with a concealer you can ma Malar festoons have a reputation of being a challenging condition to treat. Treatment options for festoons on the cheekbones may vary from those for malar bags. I recommend Morpheus 8. The surgical excision, which is the most predictable way of treating festoons, is designed to restore the youthful appearance of the lower eyelids/cheek region by removing the excess swollen skin, underlying soft tissue, and sometimes muscle. , New York +1 (212) 203-2838 Westchester, New York +1 (914) 997-2646 Concern #3: How often should I use vinegar for festoons treatment? Answer: It’s best to start by using vinegar for festoons treatment 2-3 times a week and then adjust as needed based on how your skin responds. Jul 27, 2018 · Post-operative edema and lymphatic imbalance may also increase the size and appearance of festoons (Figure 2). They can project an image of being perpetually tired and are often seen as a nuisance. In this article, we will explore various techniques that can help you get rid of festoons without surgery. There are plenty of sites trying to sell you on misleading myths that they can be fixed using topical treatments, non-surgical festoons treatment options, or even exercise as an effective treatmentOne of my biggest personal and professional concerns is Malar bags , sometimes called festoons or malar fat pads are very difficult to treat sometimes. The cost for this treatment under the eyes is $850. I have them. I think it largely depends on each individual face. They are a normal part of aging for some people and often req Apr 2, 2025 · Festoons: This is the most severe form in which the skin is cascading downwards. The bags under the eyes, called festoons or malar bags are typically filled with fat and fluid. It is commonly seen in adults. No clear nomenclature exists to describe these lesions. The most effective surgical treatment for treating a malar bag is a Lower blepharoplasty, surgery to correct problems with the lower eyelids or eye bags, can often improve the appearance of malar bags. Get proper care for undereye bags and festoons in our St. There is no one specific cause of malar bags or festoons. Chemical Peels Another popular option for festoons is chemical peels! Chemical Peels are a non-invasive alternative to effectively treating malar mounds under the eye area. Treatment must be individualized based on Jul 17, 2024 · A common sign of aging, malar bags and festoons can affect both men and women, often causing a tired and older appearance. May 28, 2024 · Several techniques are available to treat festoons and malar bags that were not caused by filler misplacement or migration. I have had success using Lasers to treat festoons and malar mounds. Embrace a healthy lifestyle, limit sun exposure, and maintain hydration to aid in festoon management and prevention. Petersburg, Florida 33703 (727) 522-3223 Please Note: We now offer text messaging on the weekends! Feel free to text us at 813-606-8891 How Did We Do? Feb 15, 2022 · HOW CAN WE TREAT MALAR BAGS NATURALLY? I’m going to take you through a Face Yoga sequence with five easy techniques that help to reduce or prevent malar bags. Oz Show” and “The Doctors. The stuff they remove the filler with also takes all your natural fat, so I literally ended up with droopy skin and puffy eyes . Sir: Among many changes that occur with aging, festoons present a unique challenge to the treating physician. Jan 26, 2021 · The treatment in the video was moderate and will address fine lines, superficial wrinkles, dark circles and festoons. Would midface lift help? Other suggestions. Festoons are often confused with LED due to their proximity to each other. No nonsurgical treatment currently meets these criteria, and surgical treatments have significant limitations. Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofre- Jul 14, 2016 · Thank you for sharing your question and posting your photo. People are keen to find the treatments that are available for festoons. And if your non-oculofacial plastic surgeon suggests that he or she can treat your festoons either with commercial fillers or by Fat Transfer (normally a wonderful procedure for other conditions), we suggest that you run, don’t walk, away from that doctor before he or she worsens the festoons or causes irreversible harm to your appearance. They tend to reoccur after lower eyelid lift surgery. Festoons are the overhanging hammocks of skin at the junction of the eyelid and cheek. In rare cases, festoons can be large enough to block an individual’s lower visual field. Here she is, in the second picture, one day after lower lid surgery only. Treatment of Chemosis; Treatment: Lacrimal Gland Suspension (Sagging Tear Gland) Treatment: Botox “Spock Brow” Treatment: Eyelid Droop After Botulinum Toxin (Botox, Dysport, Xeomin) Treatment: Eyelids; Treatment: Fat Pouches After Eyelid Lift; Treatment: Festoons; Treatment: Lower Eyelid Retraction; Treatment: Lumps After Fillers Mar 19, 2025 · Malar bags, also known as festoons, are raised or swollen mounds that appear under the lower eyelid and on the cheek above the cheekbone. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. Effective Treatment for Festoons and Malar Mounds. • Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. Nov 20, 2017 · The focus of treating festoons involves addressing the laxity of the orbicularis retaining ligament along with redistribution of muscle, skin, and fat within the lid-cheek junction. They affect periorbital appearance and can be mistaken for orbital pathology. Anaïs Carniciu, is a Fellowship-trained specialist who delivers outstanding results for your peace of mind. Festoons and malar are caused by thinning skin of the lower eyelid and skeletonization of the orbicularis oculi muscle (the muscle that wraps around the eye and closes the eyelid). They can make you look tired and older. Patel demonstrates his technique for treating festoons, or collections of fluid and loose skin underneath the eyelid. We are in agreement with Dr. Noninvasive techniques include microneedling with radiofrequency, CO2 laser resurfacing, and, when appropriate, injecting hyaluronic acid fillers . Scheiner explains how it is possible to treat malar mounds and eyelid festoons. The causes can differ from one person to the next, making it even more important to consult with your doctor to determine which treatment option is best for you. Allan Wulc is a pioneer in the treatment of festoons. When treating malar bags or festoons, we aim to flatten and smooth the area rather than inflate it. Since malar festoons or malar edema is due to fluid, surgical procedures are not really effective in making significant improvements. Jun 27, 2024 · This article delves into the complex relationship between festoons and fillers, exploring how certain fillers can worsen festoons, the role of hyaluronic acid fillers in water retention, and the challenges in treating festoons post-filler. Apr 9, 2025 · Non-surgical treatments for festoons, such as laser therapy and injectable fillers, are revolutionizing the way under-eye bags are treated. 18-20 In 2 of them, the intralesional injection of tetracycline 2% showed improvement in the contour to correct the festoons. People with lower eye bags may also have Festoons, but the two conditions require different treatments. What is a festoons treatment? The treatment for malar mounds or festoons depend on the type of festoon and its underlying cause. they’re still visible but not as noticeable (to me anyway- people tell me they never notice the malar lines on me to begin with but we’re our own worst critics Jan 9, 2023 · Is Natural Treatment For Malar Festoons effective? Here, the answer is yes and no. Dermal Fillers: Hyaluronic acid-based dermal fillers can effectively restore volume and improve the appearance of festoons. Malar bags and Festoons are very similar conditions, but they aren’t exactly the same. Though this may improve the eyebags, the festoons can end up looking worse and more pronounced. K. Aug 8, 2024 · How do I get rid of festoons? The best way to get rid of festoons is to consult with a specialist who can evaluate your condition and recommend a tailored treatment plan. Lower blepharoplasty performed without addressing malar festoons. Scheiner’s deep skin resurfacing procedure. We'll explain the difference between festoons and malar mounds. A second treatment involves incisional surgery to cut out the festoons. They may already be affected by dark circles under the eyes and the addition of festoon eye bags can make this problem appear worse. Fillers can sometimes blend and camouflage the area. Jan 21, 2023 · However, it’s best to consult with a specialist facial plastic surgeon to determine the best course of treatment for your individual case, as underlying medical conditions must be ruled out and treated before any cosmetic procedure is considered. 5. Malar Mounds vs. This damaged skin can result in folds in the lower eyelids and can lead to swollen mounds on the cheeks. Dec 26, 2018 · Festoons are a medical condition in which the skin of the lower eyelid becomes significantly damaged, usually by the sun. Some common causes include: May 8, 2015 · While previously it might have been impossible to treat malar festoons effectively without going under the knife, there is now a multi-pronged approach. Dr Bunin used her specialized surgery to treat her festoons, did invisible blepharoplasty, and laser resurfacing to treat her lower eyelids, and did ptosis and blepharoplasty on her upper eyelids. Facial Exercises. Sometimes the midface has sagged or become aged and a facelift is the Jul 7, 2008 · Injections with kenalog (steroid) or 5-FU may help some festoons but I have not seen injections completely treat festoons. Here I discuss tips on how to minimise and get rid of malar bags and festoons. The most common options for treating festoons include: Extensive incisional procedures, which offer less-than-optimal results; Direct excision of the festoons with unacceptable scars Apr 10, 2024 · Non-surgical Cosmetic Treatments for Festoons Venus Viva (RF) Radio Frequency Resurfacing. Mokhtar Asaadi specializes in diagnosing and treating festoons. Despite research in the field of oculofacial plastic surgery, festoons are challenging to treat. Edema vs. ENCOURAGE LYMPHATIC DRAINAGE. But you cannot expect a permanent result through this. Festoons present a very complicated eyelid/cheek problem to correct. A mild treatment of the full face and neck to improve pigment, sun damage and texture is $850. Adam Scheiner discusses natural remedies to fix malar mounds and eyelid festoons, and what options you have to fix yours. Surgical approaches involve direct excision of the affected tissue or indirect redraping of the affected soft tissue. Before addressing festoons directly, it’s essential to treat any underlying health conditions contributing to their development. To achieve substantial and enduring improvement in treating festoons, it's crucial to focus on rejuvenating both the dermis and sub-dermal layers to restore long-term elasticity and structural support. As with all cosmetic eyelid surgery, there is not one singular treatment that treats all types of festoons. Festoons and malar mounds have been a frustration for surgeons for many years. Jan 5, 2022 · Malar bags, also known as festoons, are raised or swollen mounds under the lower eyelid and on the cheek. Take a look at this patient, who had lower eyelid surgery and festoon treatment on different days. I have had great success treating festoons and malar mounds with my Laser Skin Resurfacing RESET treatment for lower eyelid festoons and malar mounds. Understanding the nuances of filler application and the underlying causes of festoons is crucial for both prevention and treatment. The cost for this treatment under the eyes is $850 and full face is $1000. One of the most popular treatments for malar bags is fillers. There can be several contributing factors that range from genetics to diet to aging. Dr Sebagh advises "combining the use of Dr. Al Lower Eyelid Surgery & Festoon Treatment. Our goal is to help you achieve a refreshed and youthful appearance through personalized care and innovative techniques. Causes of festoons include aging, genetics, sun exposure, smoking, and dehydration. Despite the way they look, malar mounds and eyebags are different physical structures. In this article, we will explore the various aspects of festoon removal, as viewed from a professional plastic surgeon's perspective. Louis office. Qualified plastic surgeons play a vital role in addressing festoons and minimizing the risk of complications such as post-surgical ectropion. This space is bound superiorly by the orbicularis retaining ligament (ORL) and inferiorly by the zygo-matico-cutaneous ligament (ZCL). not the person you asked but I have these and get filler placed there. It is critical to distinguish between the many causes of lower eyelid bags. May 11, 2025 · Festoons are malar soft tissue swellings distinct from eyelid bags, caused by aging and fluid retention. There is a trade-off between the festoons and the "scar". There are a myriad of methods to reduce or minimize festoons. Festoons appear below the “eye bags” as a mound or bump around the cheekbones. Jun 27, 2012 · the skin and can’t be moved easily side to side when touched. However, Dr. Jun 6, 2022 · Hi @Julia W. 1070 Park Ave. Apr 9, 2025 · Festoons are a type of skin condition that causes swelling and puffiness in the lower eyelid area, often mistaken for under-eye bags. As the tissues that surround the eyes weaken, eye bags (i. The focus of treating festoons involves addressing the laxity of the ORL along with redistribution of Treatment of Chemosis; Treatment: Lacrimal Gland Suspension (Sagging Tear Gland) Treatment: Botox “Spock Brow” Treatment: Eyelid Droop After Botulinum Toxin (Botox, Dysport, Xeomin) Treatment: Eyelids; Treatment: Fat Pouches After Eyelid Lift; Treatment: Festoons; Treatment: Lower Eyelid Retraction; Treatment: Lumps After Fillers He explained that to treat the eye bags without treating the festoons would leave her looking worse than before surgery. Tampa Bay facial cosmetic surgeon Dr. ” Patients struggling with festoons in the eye area receive personalized treatment plans to address their concerns and restore their quality of life. Related Topics: Dr. Several surgical and nonsurgical treatments Under eye bags and festoons almost always benefit from aggressive treatments. They can be caused by a variety of factors, including genetics, aging, sun damage, smoking, and certain medical conditions. Laser therapy is a game-changer in treating puffy under-eye bags, offering a non-invasive and effective solution with minimal downtime. As upsetting as festoons under your eye can be, we can fix them. There is a significant range of surgical options to treat festoons, although no procedure has been able to deliver good results consistently. Non-Surgical Treatment Options. Asaadi has developed an innovative way to properly identify the causes of your malar mounds through the use of his “Botox May 2, 2014 · stays there. consecutive patients with malar edema and/or festoons injected with doxycycline hyclate at a concentration of 10 mg/ml. Some patients find improvement with lasers or Morpheus8. Understanding Festoons. Nov 22, 2015 · Recently a variant of cautery using Thermi has been attempted. If the issue is mainly volume loss we can use fat transfer or fillers. However, individualized treatment plans should be tailored to patients' skin type and severity of festoons. Feb 25, 2020 · Answer: Treatment of festoons It does not surprise me you have festoons after 6 treatments with hyaluronic acid fillers for your lower lidssince the mechanism of action of the hyaluronic acid fillers is that of a sponge. The downtime is 3 to 5 days. To book a consultation and explore how we can help, visit Body Sculpting Clinics today. Performing a lower lid blepharoplasty and not addressing a festoon often makes the festoon look worse. Home remedies for festoons include cold compresses, cucumber slices, and tea bags to reduce swelling and puffiness. During different times of the days, festoons and malar mounds can be better or worse. 18,20 Another antibiotic in the tetracycline family, doxycycline, was used at a concentration of 10 mg/mL to Jan 15, 2019 · This extent of training and clinical practice is paramount to the correct treatment of festoons. There are many different causes of this issue and thus there are a few different ways we treat this issue. I trained in this revolutionary treatment with Dr. Or, a festoon could be sagging skin or folds of skin above the cheek. Causes of festoons vary, but they can often be attributed to genetics, sun damage, lifestyle factors, or the natural aging process. Botox is a popular treatment for festoons because it can help to smooth out the skin and reduce the appearance of bags under the eyes. Bhupendra C. The modalities of treatment can also be combined to produce the best results possible. How to get rid of malar bags and festoons? Yes, both malar bags and festoons can be removed surgically with experienced plastic surgeons. 1. When they are subtle, we usually don’t do If the festoons cannot be improved using this non-surgical method, he will put a surgical treatment plan together based on each patients specific anatomy and treatment goals. One way of surgically improving festoons is to perform a lower eyelid blepharoplasty using a skin-muscle flap. Exploring Treatments for Malar Festoons and Big Eyelids with W Cosmetic Surgery. Asymmetric Festoons with Bells Palsy and Blepharospasm, Patient 8 Malar Bags, Eye Bags and Festoons can spin your confidence out of Control! Watch this video to learn How to Reduce Malar Bags, Eye Bags and Festoons. If you are looking for real, long-lasting improvement for festoons, your best answer for natural, balanced, permanent results is to seek the help of a true expert in removing eye Festoons. Direct surgical resection represents a viable surgical option, especially in older individuals, when skin and muscle laxity are the leading causes of a festoon. It does so by filling up the area around the festoons. wuuppv meakdh gkus tmblvc fqy fuv kfnqrl eswovshu axiekav pehc