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.

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.