I have been told I have festoons, have had fillers with no luck. Would laser resurfacing help me? Cannot afford surgery (photo)

Question

Would like to know what I can do to eliminate my festoons,

Adam Scheiner, MD · Answer

Dear Fort Worth,It appears from your photos that you have both lower eyelid bags and festoons. Fillers are not a great option for festoons because they tend to push the festoon outwards when its more desirable to have the festoons flattened. For the lower eyelid bags, surgery to remove or relocate the fullness there is suggested. For the festoons, I've had success using lasers to tighten and improve the festoons and malar mounds, Best to seek a specialist in your area for assistance. I hope this was helpful.

Nicholas Jones, MD, FACS · Answer

Thank you for your question and photos.  Based on the photos, there appears to be several problems that most likely are a result of an aging face (loss of support, fat atrophy and decent, and skin excess). Your festoons will unlikely be improved alone by laser resurfacing.  In my experience, the best results are seen with operative management which would include a lid tightening procedure, excision of the skin excess, resuspending the cheek (midface lift), and fat transfer to smoothen the transition between the eye and the cheek.  Even with such a procedure, additional surgery may be required to directly excise the festoons.  Please be sure to see a plastic surgeon that is skilled in eyelid surgery.

Good Day,

Nicholas Jones, MD

Camille Cash, MD · Answer

Festoons are hard to treat.  Some have found success with lasers, but it can be hard to predict.  I recommend researching board certified plastic surgeons in your area who have specific experience in successfully treating festoons.  I would take the time and meet with a few doctors before choosing a treatment plan.

Kenneth D. Steinsapir, MD · Answer

Which filler is used and how it is placed makes a huge difference.  This is not a commodity service.  The injecting physician is critical.  Smooth fillers should not be used in this location.  That includes fillers like Belotero, Volbella, and Restylane Silk.  These products should not be used in this location.  If your recent filler service has make you worse, this product should be removed with hyaluronidase, an injectable enzyme.  I think your best option for this festoon is a phenol chemical peel.

Jason Emer, MD · Answer

Yes, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

I have been told I have festoons, have had fillers with no luck. Would laser resurfacing help me? Cannot afford surgery (photo)

Answers (9)

Answer: Bad fillers lead to bad results.

Answer: Bad fillers lead to bad results.

Answer: Improving Under Eye Festoons -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, Co2

Answer: Improving Under Eye Festoons -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, Co2

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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.

I have been told I have festoons, have had fillers with no luck. Would laser resurfacing help me? Cannot afford surgery (photo)

Answers (9)

Answer: Bad fillers lead to bad results.

Answer: Bad fillers lead to bad results.

Answer: Improving Under Eye Festoons -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, Co2

Answer: Improving Under Eye Festoons -- Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP, Co2

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

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