Thermi or Erbium for festoons/Malar bags? (Photo)

You will need an in-person consultation and evaluation to determine which treatments would be most appropriate for you. In general, Festoons can be improved with a combination of radiofrequency treatments such as Thermi and lasers like Erbium or CO2. Make sure you see an experienced physician provider. Best wishes.

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Thank you for your question and photos. Festoons are a common complaint that is actually quite challenging to treat. Skin tightening treatments like Thermi might help. Another option is injectable dermal fillers into the area to add definition to the cheekbones while minimizing the appearance of the festoons. I recommend scheduling a consultation with a board-certified dermatologist with extensive experience and expertise in treating festoons and malar bags. Through a comprehensive examination and discussion of your aesthetic goals, your provider should be able to create a customized treatment plan that meets your needs and goals best. 

Dear BeautyDiaries,It appears from your photos that you have evidence of lower lid fullness and lower eyelid festoons/malar mounds.Festoons are swollen mounds that form on the lower eyelid and cheek region. They often occur with age and are more common in individuals with lighter skin types. Both lower eyelid bags and festoons can make a person appear tired, sick and older even when they feel fine inside. Lower eyelid bags are best addressed with procedures to remove or relocate fat in this area.Lower eyelid festoons and malar mounds are challenging conditions to help but I've had success using lasers to help this condition.I'll include some links below.I hope this was helpful. 

A combination approach will give the most improvement. Lasers (Fraxel, Co2) with fillers 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

ThermiTight might be a good option for you. It is a non-surgical, minimally invasive skin tightening treatment that uses a tiny probe to deliver radio frequency energy just beneath the surface of the skin. You can also use the fractional CO2 laser to help resurface your skin surface. It’s best to get a in person evaluation from a board-certified dermatologist.