I have malar bags (festoons). Could Titan help?

Doctor Answers 4


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Thank you for your question.  In our practice we have moved away from the titan and are using tripollar RF technology and in most cases for under eyes we recommend Co2 laser resurfacing.  Some may need to be surgically treated. I recommend you consult with a board certified plastic surgeon for your best options.

Titan eyes

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Thank you for your question.  Of course, the best approach is always to be evaluated by a doctor however, in our practice we get amazing results with Titan around the eyes.  We recommend 3 treatments approximately a month apart.

Best wishes!

Titan eyes

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I bought my TITAN 10 years ago, and while at first I was very excited with this technology, I must be honest to stay that I haven't used  this technology  in over 5 years.

I find the procedure painful and not as effective as some other modalities  such as RF and Erbium Yag technologies for skin tightening in general. 

Cynthia Stolovitz, MD
Montreal Physician

Treating Festoons with Laser Devices

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This is a good question that we have received often and have experience in treating. 

For those that do not know what festoons are, they are often mistaken for "puffy eyes" or sever bags under the lower eyelids.  The skin is swollen , creating a mound on the upper cheek ( malar area). These can be a dramatic aesthetic problem for some and in the worst cases, lead to peripheral vision loss .

Time and exposure to sun, aging, genetics and smoking are some reasons individuals get festoons. The subtle changes to the skin damage the elastin fibers and create a gap of skin layers, leading to different amounts of swelling or puffiness on different days or even seasons.

Occasionally, a lower blepharoplasty is indicated but the skin may be redundant if the swelling was moderate to severe. In these cases, laser skin resurfacing ( Erbium lasers or CO2 lasers) have proven to be the best  treatment. When a less aggressive treatment is desired, then other skin tightening devices such as the Protégé ( radio frequency) or TITAN ( infrared) work effectively to tighten the periorbital area and reduce the appearance of the under eye bags.

  Radio Frequency  (such as Protege) and InfraRed devices ( such as TITAN) have been effective in reducing the appearance of under eye p

Ronald Moser, MD
San Juan Capistrano Physician

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.