23 year old with genetic malar festoons, what can I do? (Photo)

Question

I have had these malar festoons for as long as I can remember. I hate it so much. I do not want to get surgery. What can I do? I think it’s hideous.

Nima Shemirani, MD · Answer

Hi @mooshie1995. Malar festoons can be difficult to treat. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results that will last for years.
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

BeautyWorksNYC - Account Suspended · Answer

Hi from New York City!
Thank you for your question. It is possible to precisely place filler in the crease between your malar festoons and the rest of your malar cheek so that the transition is not so noticeable which will help conceal the festoon. I would use a finer filler here like Restylane instead of one that absorbs a lot of water such as Juvederm. Make sure to see a very experienced injector for this issue.  Best of luck!

Harrison C. Putman III, MD (retired) · Answer

These are a challenging problem sometimes. Fillers for the malar crease can help. Alternatively sometimes topical radiofrequency or RF microneedling treatments can help, but are unpredictable. For bags caused by edema fluid (allergies, etc.) dilute steroid injections in the deep subcutaneous plane with massage has often worked. Hope this helps!

23 year old with genetic malar festoons, what can I do? (Photo)

Answers (5)

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