New Treatment for Malar Festoons and Big Eyelid Bags - W ... But, there is a new means of treating festoons involving the injection of an antibiotic. This is the exact opposite of the desired effect. Festoons. Anatomy of the periorbital region is very complex. You can contact us. Surgery to these causes prolonged worsening of the malar pads (festoons) below. The most successful way to reduce or eliminate festoons involves a combination of procedures. Dr. Bunin used her specialized baggy eyelid surgery Lehigh Valley to treat her festoons and tighten her lower lids, did invisible blepharoplasty, and laser resurfacing. He is the author of The True Definition of Beauty and has been featured on the Dr. Oz Show, The Doctors, the Howard Stern Show, New York Post, and many others. Treatment must be individualized based on . Answer: Malar mounds/festoons Thank you for your inquiry. Before this there were no ways of treating festoons. Malar Festoons are the baggy pouches that form under the lower eyelids and on the upper cheek. Festoons represent a combination of fluid accumulation and soft tissue laxity in the superolateral cheek. Malar bags also referred to as malar bags or festoons are many a times. There are various treatments proposed for this pathologic entity as well as non-standardized nomenclature. Here she is before and 2 months after surgery. 5. treatment of malar festoons through a multifacetedtechnique of lower lid tightening,direct compression, and excision of the affected malar region. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. 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. Take a look at this patient who had fillers placed under her eyes in an attempt to camouflage lower lid bags and festoons. A festoon is defined as "a curtain of fabric draped and bound at intervals to form graceful curves." A patient with festoons would hardly call them "graceful!" Festoons, also called malar mounds or cheek bags, are redundant folds of loose skin, muscle, fat, and/or fluid that appear at the lower eyelid-cheek interface. Therefore, the aim of this study was to describe a simple and less aggressive surgical procedure that has demonstrated good results and quick recovery. Festoons: the baggage you don't need! Ask Dr. Sheffield - For Malar Bags - Festoons. The suitability of any treatment will depend upon the extent of your condition. Orbicularis sling performed in conjunction with lower blepharoplasty demonstrating effacement of malar festoons with traction. Malar Festoons: Anatomy and Treatment Strategies Brett S. Kotlus, MD, MS; Robert Schwarcz, MD Figure 1. Prices are a guide; your doctor will calculate total costs during consultation. 1 aajcs-27-01-10.indd 1jcs-27-01-10.indd 1 112/29/2009 1:17:18 PM2/29/2009 1:17:18 PM In this article, we described the existing literature on treatment of malar bags, malar edema, and festoons, and we provided a treatment algorithm based on the senior authors' clinical experience. We often think of "festoon" as a positive word, redolent of garlands and celebration. Though no one can stop the clock, aging does not have to leave you feeling. Learn how to fade malar bags naturally with these tips and tricks. Malar oedema/mounds/festoons often remain unaddressed. Anatomy of the periorbital region is very complex. Dr. Bunin also fixed her droopy upper eyelids. In an older face there is often a descent of the malar pads and a deepening of the tear trough. By putting fillers in or around festoons and malar mounds, they become fixed outward and in an elevated state. 4. Such injections will give you some extra support to the orbicular muscle so that it can create the effect of a mini facelift. The term "festoons" is commonly miss used, even by professionals, to describe other age-related changes of the lower eyelid region. Start Your Transformation! Festoon Treatment - No one likes feeling older, and no one wants to appear older than they are. As our understanding improves, we can equally expect continued refinements in surgical treatment. Anatomy of the periorbital region is very complex and Malar oedema/mounds/festoons often remain unaddressed. Treatment should be directed at regenerating both the dermis (skin layer) and the sub-dermis structures in order to regain long term elasticity and support. Dr. Adam Scheiner is a world-renowned laser eyelid and facial cosmetic surgeon, and is the founder of RESET® Treatment for Festoons, and RESET for Sun Damage. Written by Dr. Ali Ghafouri. Festoons or Malar Mounds are a condition related to lymphatic swelling in the upper cheeks near the eyelids. Anatomically, the bottom of the festoon represents an area—a so called septum- where the tissues that close the eye come into contact with tissues that elevate the mouth, making us smile and giving expression to our lower faces. The patient's subcutaneous malar area was treated with tumescent liposuction using a 3-mm blunt-tipped liposuction cannula. When they are pronounced, they are difficult to cover with makeup and may cause seriously deleterious effects on one's appearance. Treatment must be individualized based on . No nonsurgical treatment cu … But for many middle-aged adults, festoons are nothing to celebrate. We use a no swelling eyelid surgery technique with quickest recovery time and minor or no swelling after your surgery. the festoon. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. Festoons, also known as malar bags, are fluid-filled pouches that occur in the midface. We have multiple means of treating festoons in our practice, ranging from radiofrequency energy treatments to laser surgery to midface suspension. 13 Injections are able to modestly improve malar edema and mounds. Dr. Chernoff offers advanced treatment to correct malar festoons and eye bags. Malar oedema/mounds/festoons often remain unaddressed. Festoons, also called malar mounds or cheek bags, are redundant folds of loose skin, muscle, fat, and/or fluid that appear at the lower eyelid-cheek interface. They remain a difficult entity to treat. The best cosmetic option is to correct festoons, malar mounds and lower lid bags at the same time. History: Malar fluid festoons resulting from recurrent bouts of swelling from allergies. Fluid retention in the compartment below the eye. Malar Bags. In fact, long-standing filler under the eyes can migrate and give rise to festoons. The no-flash photo is included to better visualize and delineate these changes. It's best to flatten the festoon, not to inflate them. Contact The Esthetic Clinics, for under eye malar bag removal treatment in Mumbai. They can often be attributed to genetics, sun damage, lifestyle factors, or the natural aging process. Call us at +91-9619610388! SURGICAL PROCEDURE Currently there is no standard treatment of effec-tive management of malar festoons, a fact that reflects the difficulty and dissatisfaction with repair. Dr. Shah-Desai uses this technology to deliver laser energy into the malar fat compartment under the skin. The first treatment should always be direct compression of the region. Festoons: A festoon, also called a malar mound, is not located right under the eyes and isn't associated with undereye bags. By realizing with the acid a small face lift, we restore the support to the orbicularis of the eyelids. By directly compressing the area of malar edema for about 10 seconds, several times per day, this will speed resolution of the edema in many cases. Patients can have a combination of tear trough hollows, mid-face ptosis, malar bags/festoon, and jowls. If you have raised mounds under your eyes or on the top of your cheeks, you may be a candidate for lower eyelid surgery or malar festoon reduction. We are based at Lahore, Pakistan, and we welcome you to visit us for your procedure. Malar festoons are a very common feature exhibited by many patients and it's really the natural anatomic junction of where […] Tretinoin (retinoic acid) creams for cell health. Festoons, also known as malar bags, are one of the most difficult cosmetic concerns to treat on the face. This is a difficult area to treat. Malar edema represents lymphatic fluid that has migrated into the subcutaneous space. Conclusions: These preliminary results suggest that intralesional injections of doxycycline hyclate at a concentration of 10 mg/ml may be an effective treatment option for cosmetically significant lower eyelid festoons and malar edema. Festoons-. Furnas DW. Aesthet Surg J.1997;17:11-17. The MS foundation . Our second intention was to promote a potential new product specifically to treat Festoons and Malar bags. Given your apparent young age I would caution you about doing anything too drastic. There are several components to Festoons and correction will depend on the exact cause. 18-20 In 2 of them, the intralesional injection of tetracycline 2% showed improvement in the contour to correct the 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. Scheiner, MD, an international eyelid and facial cosmetic surgeon specializing in the treatment of Festoons and featured on "The Dr. Oz Show" and "The Doctors." The treatment consisted of rejuvenation of whole periorbital region- upper and lower blepharoplasty and novel treatment combination-fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel in 2 sittings. Long term effectiveness is not clear, however early results are very encouraging. Malar bags or festoons occur for an entirely different reason and are not a result of aging. The malar fat pad is attached to the orbicularis muscle and SMAS, and therefore, the orbicularis muscle suspension lifts the malar fat and improves the malar fat in congenital festoons [8, 9]. They are caused by sagging skin, damaged by excessive sun exposure, aging, smoking and other poor lifestyle habits. These treatments are helpful when an eyebrow lift and/or laser eyelid lift will not address specific eye renewal goals. Methods Lower lid tightening,direct compression and excision of the affectedmalar region is indicated in patientswith festoons which cannot be treated with minimally invasive techniques or lower . Implementation of technology in aesthetic medicine and surgery resulted . Only this way can we achieve long term improvement. Nonsurgical options, including radiofre-quency thermoplasty, carbon dioxide laser resur-facing, trichloroacetic acid peels, and the use of There are various treatments proposed for this pathologic entity as well as non‐standardized nomenclature. 18,20 Another antibiotic in the tetracycline family, doxycycline, was used at a concentration of 10 mg/mL to . The tear trough is small or almost nonexistent. Festoons of orbicularis muscle as a cause of baggy eyelids. Festoons are caused by thinning skin of the lower eyelid and skeletonization of the orbicularis oculi muscle (the muscle that wraps around the eye that closes the eyelid). After 6 weeks, excellent results can be observed with malar mound and festoon completely resolved. The nasolabial folds in young people are shallow. Doing so gives the most beautiful and natural result. What is malar edemaBut, there is a new means of treating festoons involving the injection of an antibiotic.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. Pessa JE,Garza JR. The authors stated that the malar septum is a relatively impermeable barrier that allows tissue edema and hemoglobin to accumulate superior to its cutaneous insertion, and thus defines the lower anatomical boundary of several clinical entities: malar edema, malar mounds, festoons, and periorbital ecchymosis. Festoon treatment can correct the root causes of malar bags and festoons to improve the appearance of your lower eyelids. By blueicing 02/21/2018 May 2nd, 2019 Ask The Doctor , Blepharoplasty , Eye Bags Treatment , Eyelid Lift Surgery , Eyelid Surgery , Q&A , Tear Trough , Upper Eyelid 1 aajcs-27-01-10.indd 1jcs-27-01-10.indd 1 112/29/2009 1:17:18 PM2/29/2009 1:17:18 PM Moreover, laser skin resurfacing can also reduce the appearance of fluid retention around the malar bag. Hi, you require lower lids blepharoplasty ( eyelid surgery ). 9 ). One important factor to consider when undergoing a facelift is the presence of malar mounds or festoons. Procedures: Direct festoon repair, laser lower blepharoplasty Results. Orbicularis sling performed in conjunction with lower blepharoplasty demonstrating effacement of malar festoons with traction. In their case, festoons are swollen mounds that appear under the eyes, in the upper cheek area. This patient had droopy upper eyelids (ptosis), severe ectropion and early festoons. The treatment of festoons, edema, and the malar bag is complex, involves diverse pathophysiology and inconsistency of terminology. That said, it is still not as effective as surgical treatment options. Malar mounds and festoons are areas of puffiness above the cheeks and nose and below the eyelids. Festoons, also called cheek festoons, eyelid festoons or malar festoons, are pockets of swelling that usually form on the upper cheeks where they meet the thin skin of the eyelids. Nonsurgical options, including radiofre-quency thermoplasty, carbon dioxide laser resur-facing, trichloroacetic acid peels, and the use of SAN FRANCISCO — The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according . The zygomatic ligaments are strong fibrous tissues. They tend to reoccur after lower eyelid lift surgery. In Short It is actually swelling on the upper cheek just below the lower eyelid, usually in the shape of a crescent. However, the management of malar bags is complex secondary to the diverse pathophysiology and varying severity of malar edema, mounds, and festoons. There is no simple fix for this problem. Surgical options generally achieve much better and more permanent results. The aim of this case presentation was to show the combination of . Many patients combine lower eye bag treatment and malar festoon treatment with another facial surgery or laser treatment. Dr. Kotlus advocates three techniques: Volume replacement The treatment of condition of the eyelids needs to be properly assessed. Dr. McCann and his wife, Rachel have been involved in raising money for the multiple sclerosis foundation for over a decade. Treatment for malar fat pads is not always easy. Malar pads and festoons often come associated with eye bags and surplus skin of both the upper and lower eyelids (dermatochalasis). These injections do not treat the cause of the festoon, but it can improve their appearance by simply lifting the prolapsed malar bags. There are a number of treatment options, including both surgical and more conservative approaches. They are also called cheek or malar bags, or even malar mounds. Skin laxity that allows areas around the eye and cheeks to become puffy and swollen. results obtained with those techniques do not seem effective to us: although it has not been specifically proposed for the treatment of malar bags, the midface sub-periosteal lift, combining a skin flap lower eyelid dissection and a subperiosteal malar dissection, seems to be able to correct the lowest part of the orbicularis oculi muscle due to … the festoon. Unfortunately we abandoned this project and will no longer pursue a treatment for these conditions. Treatment for festoons/malar ? Thus, treatment should be individualized, based on size, content (edema, fat, skin, and muscle), patient preference . At-Home Malar Festoon Treatment: Top Products Dr. Asaadi has developed an innovative way to properly identify the causes of your malar mounds through the use of his " Botox® Test.". I have been treating them with laser resurfacing for the last 15 years.. Festoons are a result of numerous causes including sun damage to the skin, fat loss of the cheek area, periorbital changes of skin, muscle and fat. 6. What Do You Recommend? Puffiness and bags along the cheek line can significantly impact your appearance, making you look older and more weary than you feel. Restore RF is an insulated intradermal microneedle radiofrequency procedure, used for non-surgical treatment of eye bags, wrinkles and malar festoons. A festoon is defined as "a curtain of fabric draped and bound at intervals to form graceful curves.". Festoons have the appearance of a "swag" in the skin on the cheek directly below the eye. Festoons are unattractive bags on the cheeks which occur in some people creating a fatigued look to the face. Patient very bothered by the tired look caused by these festoons and undereye bags, dark circles, and discoloration. Aesth Plast Sur.2011;35:522-529. Festoons are different from malar bags or malar mounds . Festoon is the formal name for puffy eyes. The choice of an erratic approach will leave patients dissatisfied and with poor aesthetic results. Some of the non-surgical treatments that are available include: Laser treatment Ultherapy (use of ultrasound) Radiofrequency Chemical peels The cost to treat festoons alone is about one fifth that of lower eyelid cosmetic surgery. Dermis regeneration - Sun protection to minimise further damage. Using Retin-A for many years can improve the collagen and elastin levels in the skin, which can help correct a main cause of many Malar Mounds and Festoons—namely, damage to the skin over time from the sun. Three recent studies focused on the use of antimicrobials in the treatment of malar mounds and festoons. There were no other dermatologic or visual complications following treatment. Anatomically, the bottom of the festoon represents an area—a so called septum- where the tissues that close the eye come into contact with tissues that elevate the mouth, making us smile and giving expression to our lower faces. Nothing says "aging" quite like bags under the eyes. Limiting salt intake may help reduce fluid retention and swelling. The malar septum the anatomic basis of malar mounds and malar edema. Consult our internationally renowned doctors. Malar bags or festoons occur for an entirely different reason and are not a result of aging. Radiofrequency is an aesthetic technique that uses RF energy to heat the subdermal tissue, stimulating tissue remodeling by collagen and elastin production. Malar festoons have a reputation of being a challenging condition to treat. Malar Festoons: Anatomy and Treatment Strategies Brett S. Kotlus, MD, MS; Robert Schwarcz, MD Figure 1. Happily, it does eventually settle. Introduction: Changes to the malar region are, in many cases, difficult to resolve. Dr. Donald Hause of Sacramento Aesthetic Surgery explains the various options for festoon treatment, especially laser resurfacing. SURGICAL PROCEDURE Currently there is no standard treatment of effec-tive management of malar festoons, a fact that reflects the difficulty and dissatisfaction with repair. Festoon Treatment. Until recently, the primary treatments for festoons were surgical removal, oral diuretics and steroid injections, but these procedures yielded minimal and often temporary results. 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