Lasting Results You may need a combination of treatments for the best result and make sure it is administered by an experienced, board-certified dermatologist that has the expertise to tailor your treatment to your precise needs for a beautiful new look that is distinctly you. 2. When addressing swollen mounds on the cheek, the goal should be to flatten them. A . Generally, the puffy circles underneath the eye are bags and they feel firmer to the touch. We hope that this new product will become a powerful method of controlling this condition. Other Can't imagine this would work. Al. In between these ligaments fluid can sometime accumulate leading to a truemalar bag (festoon), or normal soft tissues protruding forwardcan create shadowing leading to a tired appearance. One of the ways you can look and feel younger is by taking advantage of our treatment for Festoons. If a patient has only malar bags and no other aging changes around their eye, then fillers would not be appropriate. Gabby Shacknai & Deanna Pai Updated on Apr 26, 2023. A festoon and a malar bag (or mound) appear under the eyes, below the lower eyelid, and on the cheek. Surgical options include direct excision, skin muscle flap, extended blepharoplasty and midface lift. Dont hesitate to ask any question related to this and any other topic related to eyelids. The procedure can be repeated 1 to 2 months apart as needed, and the ability to repeat the treatment is helpful given that festoons can recur even after surgical treatments. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Figure 1 - Anatomy of the periorbital region. Please call (425-655-1200) or email us if you have further questions about this condition. This, in turn, minimizes the appearance of the malar bags. This will work in conjunction with our other EES products. These complications can be severe, and for this reason . If yes, then it is better but if you dont know the reasons for causing festoons then read here. Below, doctors explain what causes malar bags and how to improve them, both surgically and nonsurgically. Lower eyelid festoons can be seen primarily on the cheek with some presence in the lower eyelid region. Doctor Oz was joined by Dr Adam Scheiner who did a Festoon Laser Treatment and an Under-Eye Bag Laser Treatment, as well as Dr Anne Chapas who did an . Dr. Reichel shares that she may suggest using fillers to add volume and fill in the area around the festoon. http://www.adamscheinermd.com/lower-eyelid-bags-vs-festoons. However, she notes that the results can vary from person to person. However, these procedures can now yield minimal and it will be temporary results. Please schedule a consultation by calling us on 020 7993 4849 or completing the contact form below. When you look up, eye bags become more pronounced. . Given the fact that malar bags are formed as a result of a structural issue in your skin, its easy to understand how creams, gels, and cosmetic cover-ups do nothing to improve the situation. Also, the device looks like it would HIFU means High Intensity Focused Ultrasound and it is a very specific technology that is not the same as other forms of ultrasound. For this reason, we combine the SOOF Lift with skin resurfacing treatment which also reduces any unnecessary scars. Treatment One quick treatment (30 to 90 minutes depending on the treatment area) can deliver outstanding results for most patients. Facelift or standard eyelid surgery (blepharoplasty) cannot improve the appearance of festoons. Many who actually have festoons are unaware of the condition or what is causing it. So, people having festoons would also call them graceful. They are situated on the upper edge of the cheek bone and are often confused with under eye bags or puffiness. Festoons add a decorative touch by wrapping around items that are not normally considered decorative, such as a table, a lamp, or a chair, creating a small table with multiple layers that is both decorative and functional. I look tired with them and I don't know how to get rid of them. Another well-treated option for festoon is the thermage. The best candidates for a malar bag treatment are well balanced, in good general and mental health, and possess realistic expectations. You can avoid this by limiting your time in the sun, wearing sunblock with a high SPF, and using protective clothes. Phone: 914-200-4990. Spread the aloe vera over the areas of your face that feel uncomfortable, or lay a cold cloth over your whole face. Festoons and malar bags are two aesthetic concerns that may lead people to consider invasive treatments such as soof lift treatment combined with other surgeries. Its important to note that we add blepharoplasty as a treatment for festoons to our list with some hesitancy. Thank you. Fillers are often used to reduce the appearance of wrinkles and restore fullness to the face. But, does it really help? This Face Yoga class helps to reduce and prevent this swelling. Its possible to target the malar bags and encourage collagen production with laser therapies and other energy-based tools like radiofrequency and ultrasound. Some of the non-surgical treatments that are available include: Laser treatment Ultherapy (use of ultrasound) Radiofrequency Chemical peels These non-surgical options all work by tightening the skin and so reducing the appearance of festoons. Malar bags and festoons are often caused by the weakening of the muscles around the eyes. For some patients, Ultherapy can result innice results, particularly around the jawline and chest. Although festoons can be an indication of some serious medical conditions it is more likely that they are a result of lifestyle and diet. Sun exposure, smoking, poor diet, drinking coffee and alcohol and aging are among the possible causes. It's important to note that we add blepharoplasty as a treatment for festoons to our list with some hesitancy. Blepharoplasty, commonly called eyelid surgery, is often used to remove excess skin as well as fat depositswhich, in turn, smooths the lower lid and upper cheek area. These are common as we age but can also be present at a young age based on your anatomy and agenetic predisposition. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. A cold compress will constrict the blood vessels which lightens the dark circles. Apart from these, surgery is the last option. Festoons have been much more challenging . Overall, 40 of 60 respondents (67%) responded that they would consider repeating tetracycline treatment. Answer a quick quiz to receive your workout program. Fillers could also be placed along the cheekdepression to diminish the prominent fold. You may ask yourself, are festoons fat or fluid? However, they can be controlled. You may need to use oral anti-inflammatory medication. The sutures contain biodegradable cones to hold them in place, giving you a smooth, natural look. These can be present in some early in life and others after years of sun exposure. Causes of festoons vary, but they can often be attributed to genetics, sun damage, lifestyle factors, or the natural aging process. The collagen and elastic fibers in this region become fractured. Being aware of what aggravates the festoon sack, such as food, drink, activities which may include smoking or drinking alcohol etc. Keeping the tongue to the roof of the mouth can help to strengthen the facial muscles resulting in less skin drooping and better blood circulation. 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. Typical treatments for malar bags fall into two categories: nonsurgical treatments and surgical treatments. 3 Future studies would be needed to further evaluate the efficacy and safety of the treatment. Glycolic acid can cause your skin to feel a bit like you've been sunburned. These creams are not a long-term treatment option. The Plasma Pen, also called "Fibroblast," is a treatment that has been in use for many years across the globe. Train and improve your jaw, facial muscles and overall appearance to desired result. Fillers can also aid you in attaining the sought-after curve dubbed the Ogee curve. The gentle pressure and facial muscles workout will help with lymphatic drainage and allow you to target the eye bags more precisely. Caffeine, vitamin C, and hyaluronic acid eye creams can help restore skin firmness, decrease inflammation, and boost collagen production. Home | Conversely, festoons are minimally affected when a person looks upwards. Priced at $26, this at-home treatment is a much more affordable alternative compared to an in-office visit. Festoons are usually the result of damage. Fax: 914-265-4847. These are the redundant folds of the loose skin, fat, muscle or fluid that appear at the lower eyelid-cheek interface. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Even surgery has not shown favorable results. PRP is the "secret sauce" to the facialnot the red blood cells, as the viral appearance of the treatment may have made you believe. When done appropriately . Lower eyelid bags are located directly below the lower eyelid lashes and are noticed to become more prominent when someone with these bags looks upwards. Likewise, any attempt to put filler in the area of the festoon is also a mistake. A second treatment involves incisional surgery to cut out the festoons. She also notes that, while more invasive treatments may yield better results, patients should know that those types of treatments are likely to be more expensive and require more downtime. Other options would be non surgical devices to help lift and tighten- we use ultracel with great results in our clinic. Festoons, or bags under the lower eyelids, can be treatedwith ablative laser skin resurfacing to encourage healthier-looking skin to regrow. Festoons (what they are & different treatment options) Dr. Ariel Ostad MD PC 1.8K views 8 months ago Before You Conceal Under Eye Bags & Circles, WATCH THIS | Dominique Sachse Dominique Sachse. Experts agree that there is no full proof method of treatment. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Mewing is a method in which the tongue is positioned in a proper way to help develop the jaws and tone the muscles of the face. Laser therapies can help with the texture and tone of the skin but areprobably not going to workcompletely. The downtime is 5 days. I don't know if that are festoons but ai think they are. I have had a consult with a plastic surgeon who says that Voluma can be placed under the festoons to plump up and support the area. But now, with the growing understanding of festoons, most of the facial and eyelid cosmetic surgeons are specializing in the treatment of festoons. Blepharoplasty, commonly called eyelid surgery, is often used to remove excess skin as well as fat depositswhich, in turn, smooths the lower lid and upper cheek area. Eyelids / Festoons 650 per treatment . Lack of sleep, a salty junk food binge, overindulging in alcohol and underindulging in water all can lead to lower-eyelid bags that make us look tired and sick. This treatment is very safe to use around the areas of eyes and to treat festoons as well. It also allows for early recognition of complications. You can get some good improvement with Secret, micro-needling combined with radiofrequency, to help improve the texturing of your skin and tighten the skin. Before this there were no ways of treating festoons. Otherwise, surgery can improve that area, or fillers. There are other options to help improve this area if you are not interested in fillers or surgery. Dr. Shah-Desai uses this technology to deliver laser energy into the malar fat compartment under the skin. I have lost 155 lbs through diet and exercise. Learn howmewing has positive effect on your eye arearight now by downloading the Mewing Coach app. If you touch them, theyre usually firmer, and you cant easily move them from side to side. Derma rollers are known to have a stellar effect on festoons. There is no singular cause of malar bags. It has proven to be the best option for the treatment of festoons. You can use this home remedies it's simple and easy: 1- cold compress When the blood vessels are dilated, it can darken the under eyes. This will also improve the general under eye appearance by just filling in hollows near to the festoon areas. We develop baggy lower eyelids, loose skin on our lower eyelids, wrinkles, and festoons and malar mounds. GET THE BEST SOLUTIONS FOR YOUR TOP CONCERNS: TAKE OUR NEW TREATMENT FINDER QUIZ. We will keep you posted as to our progress. You can see significant improvement with constant practice and perseverance. Festoons appear lower. What is the difference between "bags" and festoons? Fortunately, the filler that was used was a hyaluronic acid that can be dissolved with a product known as hyaluronidase. Another option for you might be the SIhouette InstaLift, which raises both the skin and the SMAS from within, using dissolvable sutures. Most commonly, malar bags are formed as a result of a structural issue in the skin in the lower lid and cheek area. They are quite difficult to move from one side to another side. Microneedling can be done with peptide gel, hyaluronic acid serum, or in the case of the "vampire facial," with platelet-rich plasma. This procedure removes the fullness of the lower eyelid, and instead of improving the appearance of the festoon, it may highlight it and make it more obvious. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. The most common adverse side effect was discomfort, experienced by 18% of patients, followed by swelling (15%), bruising (13%) and face not looking smooth (10%). Festoons and malar bags can be treated non-surgically, and a healthy lifestyle can reduce the likelihood of getting them. When in doubt please contact us directly for a specific analysis and possible treatment options for your particular under eye problems. Laser skin resurfacing is another treatment option for malar bags and can be used to tighten the skin laxity of the festoon, notes Dr. Reichel. If you have requests for other videos, please leave a comment and dont forget to subscribe to the channel so you dont miss any of my upcoming videos! One example of how isolated lower eyelid surgery can be a mistake is when lower eyelid festoons or malar mounds are present. The information on RealSelf is intended for educational purposes only. Treatment options for festoons include laser therapy, direct excision, and midface lift; elected therapy is based on the severity of the condition [1]. These can fluctuate on a daily basis based on the amount of fluid retention. 215.309.8123; 92 Lancaster Avenue, Suite 120, Devon, PA 19333 . Applying tea bags, cucumber slices, potato slices, Aloe vera gel, honey, or coconut oil are some of the many natural treatment options for under-eye bags. The best way to improve this condition is to injure the area and have the body heal the injury resulting in new collagen and elastic fibers and therefore tighter skin.I've had success using lasers to tighten and improve festoons. You can get some relief by using a cooling product like aloe vera or even just a cold cloth. In this Medical Minute, Dr. Adam Scheiner discusses natural remedies to fix malar mounds and eyelid festoons, and what options you have to fix yours. This combination of procedures provides the most natural rejuvenation of this critical area of the face. Under eye bags and festoons almost always benefit from aggressive treatments. New research has shown that fat can grow and atrophy during our lives in asymmetric ways. Treatment: He looks years younger and much more refreshed after extremely complex procedures involving upper lid blepharoplasty, direct festoon repair, lower . In the below section, you will get to know about some treatments for festoons one by one: Laser Skin Resurfacing for Festoons Laser skin resurfacing is a procedure that utilizes sophisticated Carbon Dioxide (CO2) lasers and Erbium:Yag (Er:Yag). Festoons are squishy and can be made to move side to side. The simplest and easiest way to do this is to start an at-home skincare regimen. After your treatment, your skin will look smoother, tighter, fresher and more youthful. How To Treat Festoons or Malar Mounds: Everything You Need to Know Kristina Klein | June 27, 2017 Festoons are generally defined as "a curtain of fabric draped and bound at intervals to form graceful curves". In your case I believe appropriately placed fillers would likely result in a good outcome. The procedure is usually done in an outpatient setting with local anesthesia. Regular follow-up appointments after the procedure are quite important and allow for better management of the healing process. Once you know what causes festoons, you can understand how eye creams, gels and other external treatments are completely ineffective. You can consider laser treatments, chemical peels, and/or microneedling (Skin Pen) to help improve overall skin tone and texture. Surgery can be performed and fat transposedto fill inthese hollows but only by someone experienced in lower eyelid surgery. We at Easy Eye Solutions are now in the preliminary stages of developing a specific product to control Festoon bags. Thats an indication theyre bags. Maryam Zamani, oculoplastic cosmetic surgeon and creator of MZ Skin. Achieving a fuller and more youthful appearance is possible without resorting to invasive interventions. While the success of these therapies varies, they are usually considered less intrusive and safer than surgery. Answer: Festoons treatment I agree with you that you seem to have malar festoons. These are not to be confused with lower eyelid fat pads which are fat swellings involving the lower eyelids and are caused by enlargement of normally existing fat pads . Several non-surgical options are available to help minimize the look of festoons and loose skin under the eyes. Festoons are usually the result of damage. in order to undergo the procedure. The Best Candidates for Festoon Excision. 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. Ive written extensively about the fact that fillers have only a narrow role in the eyelid region, and should only be used in young patients with true hollowing in the inner lower eyelid region. About us | No one patient is the same and therefore no treatment plan is the same for every patient. Fortunately, a variety of treatment options exist that can benefit each patient and be tailored to their . Blog. Lower eyelid bags are firmer, deeper in location beneath the skin and cant be moved easily side-to-side when touched. Speed up wound healing. People with malar bags have a puffier appearance around the eye, which can project an image of being perpetually tired. It essentially injures the skin to stimulate the production of collagen, which, in turn, tightens the skin. Treating them with a one-time injection is very rewarding. Incorporating these drainage massages can help you fight fluid retention especially if you combine it with these 15 facial fat reducing exercises. As already mentioned that laser skin resurfacing would be more effective, so try it, if needed. Little to No Downtime Go right back to life as usual -no need to miss work or fun. Can you treat eye bags or malar bags? This will work in conjunction with our other EES products. So where does platelet-rich plasma (PRP) come into the picture? These under-eye bags can result in a tired, older-looking, and even unhealthy appearance. Surgery can cost all different from street to street, even blocks to blocks in the same city, depending on the surgeon's reputation, skill and experiences. In contrast, lower eyelid bags are due to age-related fat protruding through the skin in the lower eyelid region. Although festoons can be an indication of some serious medical conditions it is more likely that they are a result of lifestyle and diet. Bags are generally associated with aging, allergies and fatigue. 83% of users starts their day with mewing.coach program. They are frequently caused by a lack of suppleness in the cheek skin and soft tissues, resulting in a sinking appearance. Best of luck! Fellowship trained in Laser Eyelid and Facial Plastic Surgery. Festoons (Lower Lid Bags) & Malar Oedema & Eyebags. Well, there is not any specific trick that can help you avoid festoons. Face massages can aid in the removal of festoons by stimulating lymphatic drainage, minimizing fluid build-up, and improving circulation flow to the lower eyelids. By putting fillers in or around festoons and malar mounds, they become fixed outward and in an elevated state. Legs and other parts of the body The eyes are one of the focal points of the face, butas we age our faces and specifically our eyelids can change. Ultherapy is a treatment that uses a directed ultrasound beam to heat tissue at specific levels. You should arrange for a friend or family to bring you to and from surgery. This can help make the festoons less prominent if skin laxity is the problem. We nor any other manufacturer of eye products can guarantee results. Use a cooling product. My CoolPeel CO2 laser can be customized to your unique needs it is powerful fast and gives fabulous results. Learn more about festoons and how they affect your appearance | The Laser & Skin Surgery Center of Pennsylvania. They are situated on the upper edge of the cheek bone and are often confused with under eye bags or puffiness. Another treatment for malar mounds is filler. Chemical peels are cosmetic treatments that involve using acids to exfoliate the skin. 10 day course: https://watkinswisdomacademy.com/product/face-yoga-by-danielle-collins/Audio book: https://www.amazon.co.uk/Danielle-Collins-Face-Yoga/dp/B089GDGDS4Collagen drink to help skin from the inside out: https://rejuvenated.com/my/danielle.collins/ and the DC code for 10% off at checkout.Sleep and glow pillow to reduce sleep lines: https://www.sleepandglow.com/#a_aid=5e6bd29b768fd and use code faceyoga10 for $10 off (during October its 15% off) Kansa wand: https://www.maulirituals.com/?ref=6uh_u3ksunvncode DANIELLE for free shippingForeo Bear, UFO2 and Luna 3: https://bit.ly/3ce74WG Fracheur ice globes: https://faceiceglobes.comUse code FACEYOGAEXPERT15 at checkout for 15% off.Sleep bra for reducing chest lines: https://www.sleepandglow.com/#a_aid=5e6bd29b768fd and code at checkout: Faceyoga10% for 10% off Have a great day! Avoid using on your eyelids. Some of the leading causes associated with these issues include genetics, the skins ageing process, which consists of a loss of collagen and elastin, sun damage, chronic allergies, sinus problems, and medical conditions such as thyroid disease and kidney dysfunction. Is the first step. The best possible treatment is CO2 laser to shrinkand tighten the overlying skin. This will then create a kind of gap in the skin layers and it will lead to great eye puffiness and swelling. Most individuals with festoons also have sun damage and early skin cancers on other parts of their face. " At-home LED devices are an excellent method to bring an usually in-office treatment to the comfort of your home," says Dr - red light therapy for hair loss reviews. The results can be worsened by the contrasting pull of underlying facial muscles over the years. As we work the muscles, we also tighten, tauten, and firm the skin attached to them. For any procedure your doctor suggests for the treatment of your malar bags, ask to see before and after photos of previous patients with malar bags so you can make an informed decision. However, this eyelid issue can be treated with some surgical and non-surgical festoons treatments. The important thing to remember about malar bags is that just as the causes differ from person to person, so too do the treatments, which are based on the severity of the condition. Orthodontist, lecturer, face yoga expert. You can improve the look of festoons and malar bags by quitting smoking and drinking fewer alcoholic beverages. Also, if you look up, they become more prominent. Distributors | Unlike bags under the eyes, cosmetic surgery alone will not treat Festoons completely. Hyaluronic acid injections are another option that can be used to treat festoons. Try all these to treat festoons and malar mounds with an ease.
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