Festoon question, how to treat, camoflauge, will microneedling, RF or ultherapy work? (photos) Hate this little sucker The first time I got filler it was camoflauged great, now I can't seem to get a good result- what can help?
January 7, 2019
Answer: Malar pouches!! HiOne of the most resistant problems plastic surgeons face are those malar pouches. They resist surgery BUT you are on the right track. Microneedling with radiofrequency (Fractora) has been very effective. We also have had success with fat injections into this area. The filler aspect of the fat helps conceal the pouches and the stem cells may actually improve the skin quality. So the good news is they are improvable without surgery.Thank you for asking about this very common and annoying problem.Pamela R. Lipkin MD
Helpful 1 person found this helpful
January 7, 2019
Answer: Malar pouches!! HiOne of the most resistant problems plastic surgeons face are those malar pouches. They resist surgery BUT you are on the right track. Microneedling with radiofrequency (Fractora) has been very effective. We also have had success with fat injections into this area. The filler aspect of the fat helps conceal the pouches and the stem cells may actually improve the skin quality. So the good news is they are improvable without surgery.Thank you for asking about this very common and annoying problem.Pamela R. Lipkin MD
Helpful 1 person found this helpful
April 22, 2019
Answer: Festoon treatment Festoons can be very challenging to treat. There are a number of options available that I have found success with. Aggressive laser resurfacing, surgical release of underlying ligaments, skincare and microneedling are all beneficial for many patients. For you, I would probably not recommend surgery because the festoon is rather small (compared to others I've seen) and likely doesn't need such an aggressive approach. There is a somewhat experimental treatment that some of my oculoplastics colleagues have performed doing injections of doxycycline into festoons and have gotten great results. Doxycylcine injections are commonly used to ablate and remove cystic malformations all over the body including the face and eyelids/eye socket. I do not have specific experience with ultherapy as a treatment for festoons and therefore cannot comment on that, but I haven't heard about it at meetings or talks. If I were you I would go with multiple treatments of ablative erbium or CO2 laser resurfacing, microneedling, and skin care. Be careful of filler because although they can help a lot of the time, I have seen filler make swelling slightly worse in some instances. Good luck!
Helpful 3 people found this helpful
April 22, 2019
Answer: Festoon treatment Festoons can be very challenging to treat. There are a number of options available that I have found success with. Aggressive laser resurfacing, surgical release of underlying ligaments, skincare and microneedling are all beneficial for many patients. For you, I would probably not recommend surgery because the festoon is rather small (compared to others I've seen) and likely doesn't need such an aggressive approach. There is a somewhat experimental treatment that some of my oculoplastics colleagues have performed doing injections of doxycycline into festoons and have gotten great results. Doxycylcine injections are commonly used to ablate and remove cystic malformations all over the body including the face and eyelids/eye socket. I do not have specific experience with ultherapy as a treatment for festoons and therefore cannot comment on that, but I haven't heard about it at meetings or talks. If I were you I would go with multiple treatments of ablative erbium or CO2 laser resurfacing, microneedling, and skin care. Be careful of filler because although they can help a lot of the time, I have seen filler make swelling slightly worse in some instances. Good luck!
Helpful 3 people found this helpful
