Is this a festoon or just puffiness? (Photo)

I've only used a photo of one side of my face below but recently I've noticed puffiness on my upper cheekbones, I'm confused as to whether it's a festoon or just puffiness. If it is just puffiness is there a way to make it go away?

Doctor Answers 2

Festoons or malar swelling

The swelling beneath the outside portion of you lower eyelid is called malar edema or malar bag. The cause of this problem is lymphatic obstruction just below the protrusion. It is not a surgical problem as fat is not causing the swelling. Malar swelling is a difficult problem to improve. Options include avoiding salty foods, injections with fillers to camoflauge the swelling and perhaps lymphatic drainage. 

Boston Plastic Surgeon
4.6 out of 5 stars 12 reviews

Upper Cheekbones/Puffiness/Festoon?--Under Eye Bags/Hollows--Lasers (Fraxel, Co2/Erbium, VIVA, Intensif); Microneedling/PR

This looks like puffiness. In treating under eyes, a combination approach is best. I suggest a combination approach of lasers, microneedling/PRP, fillers and skin care/peels which can improve this area. See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 158 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.