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

Question

It's been a little over 6mos since my upper and lower bleph. My right under eye was the eye that was bothering me. I had 3 consultations with different surgeons before I made a decision. Not one mentioned anything about this festoon. My surgeon isn't sure how to treat it. He thought it could be filler I had a few years ago. Injected dissolver but it didn't make a difference. A friend told me when I look up they both dissapear. How can I get rid of this?

Nelson Lee Novick, MD · Answer

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.

Brian K. Machida, MD, FACS · Answer

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.

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

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

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.