21 years old with Cheek festoons/malar mounds will laser treatment improve them? (photos)

Question

I have these festoons on both sides of my cheek and it is making me depressed. I've had it all my life but they've gotten worse in the last couple of years even though i've had sunscreen. I have done fillers and it has not helped, it has made worse if anything. I'm too young for surgery and don't want it now. So what are my options to improve them? Laser? What kind of lasers? I can't live like this :(

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

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

Dmitriy Schwarzburg, MD · Answer

Fillers may help. Skin tightening procedures such as lasers or microneedling may also be recommended. It is best to consult with a doctor to tailor an appropriate treatment for you.

Jean M. Casello, MD · Answer

This is a good question. Oftentimes when treating this area a combination approach is best.  Dermal fillers when placed correctly should offer some improvement.  Skin tightening with lasers, microneedling, RF and/or stem cells can also be helpful. You should consult with an experienced provider who can best advise you.

Ligaya H. Buchbinder, MD · Answer

A combination of Vivace Deep Radiofrequency microneedling and dermal fillers will greatly improve this condition. Vivace treatment has to be repeated at least three times. One month apart.

21 years old with Cheek festoons/malar mounds will laser treatment improve them? (photos)

Answers (5)

Answer: Festoons/eye bags

Answer: Festoons/eye bags

Answer: Combination of Vivace Microneedling and dermal fillers

Answer: Combination of Vivace Microneedling and dermal fillers

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21 years old with Cheek festoons/malar mounds will laser treatment improve them? (photos)

Answers (5)

Answer: Festoons/eye bags

Answer: Festoons/eye bags

Answer: Combination of Vivace Microneedling and dermal fillers

Answer: Combination of Vivace Microneedling and dermal fillers

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Recommended reading

Everything you need to know about Fraxel Laser

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