Festoons still prominent after lower bleph. How can I get rid of this? (Photo)

Tahis potentially can be a filler-related condition that has been called "puffy pillows" under the eyes, a condition that has been linked with lymphatic drainage obstruction due to either too superficial placement of HA filler under the eyes or to the improper choice of filler for that region. And, the problem can start a significant time after treatment. If this is indeed the case here, treatment can be difficult and typically requires several treatment sessions. I have had success in treating this problem with varying combinations and concentrations of intralesional anti-inflammatory agents coupled with the hyaluronidase. Make sure to consult and experienced, board certified cosmetic dermatologist and best of luck.

These are not in the typical location for a festoon. These are located along the bony orbital rim. Early on, this could be swelling. Later, it might be fat from fat grafting or transposition. It’s difficult to determine how to treat it without knowing etiology.