what is a festoon treatment

Full Answer

What are festoons and how to treat them?

Festoons are quite difficult to treat and it is often misdiagnosed. Several issues like sun damage, alcohol, facelifts, sinus problems. Allergies, injected fat or filler, blocked clear duct can cause festoons to occur. Festoons can lead to damaged skin that results into folds in the lower eyelids and swollen mounds on the cheeks as well.

How to get rid of festoon on my face?

So, it becomes very important to be aware of what actually irritated the festoon issue such as drinks, food, smoking or alcohol. Or if you just want to treat them temporarily then steroid injects and medications can also help overcome this issue.

Does lower-eyelid surgery treat festoons?

Lower-eyelid or eye bag surgery does not treat Festoons as this condition is not under the eyelid but under the eye itself. For this reason, treatment needs to go further than the eyelid. Lower-eyelid surgery often ends with the patient’s bags becoming more prominent in cases where Festoons are present.

How to treat festoons or malar mounds?

How To Treat Festoons or Malar Mounds: Everything You Need to Know 1 Laser Skin Resurfacing for Festoons. Laser skin resurfacing is a procedure... 2 Hyaluronic Acid to Treat Festoons. Hyaluronic acid injections are another option... 3 Thermage. Another well-treated option for festoon is the thermage.

What is the best treatment for festoons?

What causes Festoons and why you should treat them?

What is a facial lift?

Can you get festoons under your eyelid?

Does a facial peel help with festoons?

Can you treat festoons with a licensed professional?

Can you use topical cream on festoons?

See more

How do I get rid of festoons on my face?

Cautery and Injections of caustic components have been used as well with mixed results. My approach to treat festoons involve using lasers to injury the sun damaged skin that caused the festoons and malar mounds and then allowing the body to heal the injury with new collagen and elastic fibers.

Can you get rid of festoons?

Festoon excision treatment is available for patients with more severe festoons, where there are significant amounts of overhanging skin and muscle present. The tissues can be directly excised, removing the dead space area where fluid collects.

What is a facial festoon?

Festoons are unattractive bags on the cheeks which occur in some people creating a fatigued look to the face. They are also called cheek or malar bags, or even malar mounds. When they are pronounced, they are difficult to cover with makeup and may cause seriously deleterious effects on one's appearance.

What causes facial festoons?

Festoons are usually the result of damage. Sun exposure, smoking and aging are among the possible causes, and the results can be worsened by the contrasting pull of underlying facial muscles over the years. Fair-skinned people tend to be more susceptible to festoons.

How do I get rid of festoons naturally?

This natural remedy is the regular use of sunblock and other sun protection. Wearing sunblock on all parts of your body exposed to sun on a daily basis prevents further sun damage to the skin and in turn prevents worsening of lower eyelid Festoons and Malar Mounds.

Why do festoons come and go?

Festoons are a medical condition where swelling occurs in the lowest portion of the muscle around the eye causing the overlying skin to change. Mild symptoms can come and go and get worse with fatigue, lack of sleep and excess salt consumption.

Can Botox help with festoons?

If your festoons or malar bags worsen after the injection, this indicates that aging in the muscle has led to laxity around the eyes and upper cheeks. However, if the Botox injection doesn't alter the appearance of your malar bags or festoons, then your condition is being caused by localized fat.

Do festoons get worse?

During different times of the days, festoons and malar mounds can be better or worse. They are usually more noticeable during the morning hours after sleep.

Does Microneedling get rid of festoons?

Radiofrequency (RF) microneedling might be the most reliable and safe needle in a haystack of treatments for removing festoons, according to Roy G. Geronemus, M.D., director of the Laser and Skin Surgery Center of New York and clinical professor of dermatology, New York University Medical Center.

What medical condition causes festoons?

The first difference is in their cause or etiology; festoons are a result of sun-damaged skin on the lower eyelid and on the cheek and are believed to be affected by underlying contrasting muscle forces over the years of a person's life.

How do you massage festoons?

10:3213:5410 Minute Face Yoga To Reduce Malar Bags Festoons Under Eye ...YouTubeStart of suggested clipEnd of suggested clipIn the lower part of the eyelids. And where your index fingers are that's where you want to feel theMoreIn the lower part of the eyelids. And where your index fingers are that's where you want to feel the shake or pulse. After two to three seconds. You're going to release.

How do you drain festoons?

2:487:30Eye Massage and Lymph Drainage Tutorial - YouTubeYouTubeStart of suggested clipEnd of suggested clipYou can go as quickly or as slowly as you want I'm just kind of demonstrating the techniques. Today.MoreYou can go as quickly or as slowly as you want I'm just kind of demonstrating the techniques. Today. So then we're going to start and we're going to start working right around the tear duct. And in

What is the treatment for festoons?

In the past, festoon treatment consisted primarily of surgical removal or corticosteroid injection. Some patients received diuretics, or “water pills.” Diuretics may reduce edema, or swelling.

Why do festoons bulge under eyes?

Also known as malar mounds, festoons appear to bulge because the muscles beneath them are degenerating. Gaps grow as skin fibers weaken, leading to puffiness and swelling. For some patients, festoon swelling is so severe that it affects vision.

Can laser resurfacing remove festoons?

Laser resurfacing can remove festoons without the risk of scarring. Unlike other treatments, laser resurfacing provides long-term rather than temporary results.

Can festoons be on the cheek?

Patients may have both eyelid bags and festoons. Festoons extend from the cheek to the lower eyelid. Unlike eyelid bags, the swelling is larger on the cheek.

What is the treatment for festoons?

Treating the festoons with a combination of orbicularis muscle plication, a midface lift, and a unique resurfacing technique, Dr. Kass avoids the unacceptable scars associated with direct surgical excision, and also avoids the use of costly, less predictable, and more dangerous laser procedures.

Can you walk away from a plastic surgeon 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 surgeon before he causes you irreversible harm to your appearance.

Can festoons be corrected with surgery?

Unlike bags in the lower eyelids, festoons are not due to herniated or anteriorly protruding orbital fat, and they are not improved with eyelid surgery. In fact, cosmetic surgery on the lower eyelids, which does not address the festoons, may even make them appear worse by removing the eyelid fullness above the festoon.

Can you get a festoon with a facelift?

Unfortunately they are not improved with a traditional facelift procedure either.

Can a plastic surgeon treat festoons?

In our opinion, festoons can only be treated by an oculofacial plastic surgeon.

Understanding Festoons and How to Treat Them

Some people call them puffy eyes. Others identify them as severe bags under the eyelids.

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What is a festoon?

We often think of “festoon” as a positive word, redolent of garlands and celebration. But for many middle-aged adults, festoons are nothing to celebrate. In their case, festoons are swollen mounds that appear under the eyes, in the upper cheek area.

Can you have a facelift on festoons?

Treating festoons requires a comprehensive approach. Facelift or standard eyelid surgery (blepharoplasty) cannot improve the appearance of festoons. Similarly, if an individual with festoons undergoes blepharoplasty without addressing the swollen mounds under the eyes, the festoons will actually look more pronounced after the surgery.

Can you use dermal fillers on festoons?

Many noninvasive techniques are just as inadequate. Using dermal fillers to treat festoons will often accentuate their appearance, by plumping up their volume. It is not uncommon to see festoons in patients who have had hyaluronic acid (HA) fillers (such as Juvederm) under the eyes or cheek area. Fat transfer techniques may not be appropriate. Not surprisingly, over-the-counter skin care products are ineffective in improving the festoons.

How To Treat Festoons?

In order to know how to treat festoons, until the present, oral diuretics, surgical removal and steroid injections were the only primary treatments for festoons. However, these procedures can now yield minimal and it will be temporary results.

What is the best treatment for festoons?

Thermage. Another well-treated option for festoon is the thermage. If your eye festoons used to appear to be a result of sagging eyelids then thermage will surely help you out. Thermage makes use of radio frequencies to tighten facial skin.

What causes Festoons?

Do you have any idea what causes festoons? If yes, then it is better but if you don’t know the reasons for causing festoons then read here.

What is the difference between festoons and eye bags?

Understanding the difference between Festoons and Eye Bag: Generally, the puffy circles underneath the eye are bags and they feel firmer to the touch. They are quite difficult to move from one side to another side. When you look up, eye bags become more pronounced.

Why is it important to have regular follow up appointments after a procedure?

Regular follow-up appointments after the procedure are quite important and allow for better management of the healing process. It also allows for early recognition of complications.

Can you treat festoons with surgery?

Physicians have now observed a lot and found the best ways to treat festoons. Yes, festoons can now be treated well with some surgical and non-surgical ways as well. In the below section, you will get to know about some treatments for festoons one by one:

Can you remove festoons?

Festoons can easily be removed and don’t look more pronounced when you look up. And for eye bags, you need some special and effective home remedies to remove eye bags or you need to get treated with blepharoplasty surgery to remove eye bags.

Why do people get festoons?

Because festoons have a genesis in past sun exposure. Most individuals with festoons also have sun damage and early skin cancers on other parts of their face.

Where do festoons form on the face?

7) They form in different portions of the face than lower lid bags. The second difference is the location on the face where they form. Lower eyelid festoons can be seen primarily on the cheek with some presence in the lower eyelid region.

What is the difference between festoons and lower lid bags?

The third difference is the feel of these conditions when they are touched. Festoons are squishy and can be made to move side to side. Lower eyelid bags are firmer, deeper in location beneath the skin and can’t be moved easily side-to-side when touched.

When addressing swollen mounds on the cheek, the goal should be to flatten them.?

When addressing swollen mounds on the cheek, the goal should be to flatten them. By putting fillers in or around festoons and malar mounds, they become fixed outward and in an elevated state.

Can you fix malar mounds and festoons?

We expect heavy lower lids to accompany eyelid festoons and malar mounds, and when only one of these conditions is corrected, festoons and malar mounds are accentuated and become more pronounced. For the best results, fix both lower eyelid bags and festoons and malar mounds at the same time. This combination of procedures provides the most natural rejuvenation of this critical area of the face.

What are festoons made of?

Among many changes that occur with aging, festoons present a unique challenge to the treating physician. 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.1Many different surgical approaches—including microsuction, flaps, midface lift, and excisions—have been tried with variable success rates. These procedures are often complex, however, and can result in significant complications such as skin perforation, wound dehiscence, chemosis, and ectropion. Botulinum toxin, carbon dioxide lasers, chemical peels, cautery, and tetracycline injections have been used as nonsurgical options, but the results have not been reliable.2Despite such efforts, treatment of festoons remains difficult and no standard treatment exists.3,4Here we report a simple, noninvasive, and nonsurgical treatment method using microneedle radiofrequency technology to improve and possibly resolve festoons.

Can festoons be covered with makeup?

Both patients noted a significant improvement of festoons after one treatment and were highly satisfied with the results. They tolerated the procedure well. The only side effect was erythema in the areas of treatment, which diminished over a few days and could be easily covered with makeup.

What is the treatment for festoons?

We have multiple means of treating festoons in our practice, ranging from radiofrequency energy treatments to laser surgery to midface suspension.

Why do plastic surgeons have festoons?

They are bags seen in familial form but are most commonly the result of either thyroid problems, rosacea, sleep apnea, or filler.

Can sleep masks cause festoons?

Patients who wear occlusive sleep masks over the cheeks are more likely to develop festoons.

Do festoons improve?

A recent study of 102 patients treated at the Cleveland Clinic surveyed patients that had undergone the procedure. Approximately 59 percent of patients who responded to the survey noted improvement, and the authors concluded that these injections appear to improve festoons in the majority of patients.

Can doxycycline cause festoons?

No, festoons are not a result of an infection, but tetracycline and related antibiotic doxycycline, are known to cause the collapse of cavities and may diminish the size of the edema pocket seen in festoons.

What is the best treatment for festoons?

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.

What causes Festoons and why you should treat them?

Some people can have a genetic predisposition to Festoons, but they can be caused by other factors such as muscle laxity, smoking, or sun damage to the fragile skin under the lower eyelids and above the cheek region. Festoons can also be the result of a structural problem beneath the surface of the eyelid which is why eye creams and external treatments offer limited results if this condition is caused by soft tissue and structural problems.

What is a facial lift?

A SOOF lift is a form of a facelift procedure known as a suborbicularis oculi fat lift, which is commonly used to eliminate physical signs of aging. During your SOOF lift procedure, a small incision will be made below the eyelid and extend into the cheek area to remove or reattach any fatty tissue to your facial bones.

Can you get festoons under your eyelid?

It is important to note that these are not bags under the eyes but are bags below the eyelids. Many of our patients ask if regular lower-eyelid surgery is an option and we strongly discourage this form of treatment. Lower-eyelid or eye bag surgery does not treat Festoons as this condition is not under the eyelid but under the eye itself. For this reason, treatment needs to go further than the eyelid. Lower-eyelid surgery often ends with the patient’s bags becoming more prominent in cases where Festoons are present.

Does a facial peel help with festoons?

Unlike bags under the eyes, cosmetic surgery alone will not treat Festoons completely. For this reason, we combine the SOOF Lift with skin resurfacing treatment which also reduces any unnecessary scars. Certain peels and even laser resurfacing treatments can help the skin to renew itself into a healthier, younger, and more attractive state with lasting results.

Can you treat festoons with a licensed professional?

Festoons can be a difficult condition to treat and should only be done by a qualified and licensed professional as it can easily be mismanaged with an over-correction or under-correction. After consultation and thorough examination with our staff, we will be able to understand the cause of your Festoons and determine the best treatment option for you.

Can you use topical cream on festoons?

As mentioned before, those who have conditions in very early stages may only experience limited results with topical creams. These creams are not a long-term treatment option.

What Are Festoons?

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What Causes Festoons and Why You Should Treat them?

Diagnosis

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