What is the best treatment for malar mounds/festoons? (Photo)

Question

I am extremely distressed over these lines on my cheeks which I believe to be either malar mounds/bags or festoons. I have read that this is a difficult condition for physicians to treat and my biggest concern is undergoing a procedure that ends up making them worse. I've seen fillers/lasers/surgery listed as potential corrective treatments but am still unsure as to which is the best option for me. Any advice is greatly appreciated!

Eric M. Joseph, MD · Answer

At your young age, consider doing nothing. Surgery may be an option as you age, and fillers would not likely help, and possibly accentuate the fullness. I have not seen laser as an effective modality. Please don't distress. Dr Joseph

Nima Shemirani, MD · Answer

Hi @cmp08011. Thank you for sharing your photos.  I recommend Morpheus 8.  Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin 
tightening and lifting.

Best of luck,

Dr. Nima

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and photographs. These are difficult to treat as no reliable treatment exists.  Best options at seeking improvement would include RF and superficial dermal filler placement by a specialist.  Best wishes!

Emile Brown, MD · Answer

This is a very difficult area to treat, and fillers can often make things look worse and unnatural. We have had good success treating this area with radiofrequency microneedling (Infini) in our practice. Best of luck.Emile Brown, MDBoard Certified Plastic Surgeon, Johns Hopkins & Harvard Trained

Raja Mohan, MD · Answer

In older patients, I recommend excision of malar mounds. In your case, you may experience some benefit from non-invasive modalities like RF treatments. I definitely do not recommend any filler treatment because that could make it look worse. I recommend consultation with a plastic surgeon to learn more about these different options.
Hope this helps.

What is the best treatment for malar mounds/festoons? (Photo)

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Answer: Treating malar mounds/festoons

Answer: Treating malar mounds/festoons

Answer: Malar Mounds

Answer: Malar Mounds

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What is the best treatment for malar mounds/festoons? (Photo)

Answers (10)

Answer: Treating malar mounds/festoons

Answer: Treating malar mounds/festoons

Answer: Malar Mounds

Answer: Malar Mounds

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Recommended reading

Everything you need to know about Dermal Fillers

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