Looking for a doctor to treat festoons (malar mounds). Any suggestions?

Question

Looking for a doctor that can treat festoons (malar mounds), had upper and lower lids done in July , one upper eye lid is different and I still have festoons under my eyes still , I'm looking for a doctor who can treat this

Adam Scheiner, MD · Answer

Gracie,Malar Mounds and Festoons are terms used to describe the skin folds and 
swelling of the lower eyelid and cheek which form as a result of years 
of sun damage and underlying forces under the skin caused by contrasting
 muscle action. Festoons, along with lower eyelid bags, can make us 
appear tired or sick even when we feel great inside. Patients with this 
condition often report that others think they are perpetually tired 
based on the appearance of these Festoons and Malar Mounds. It can be 
frustrating for those who feel otherwise fine to be perceived as tired 
when they are not. 
While some people have a family genetic predisposition to Malar 
Mounds and eyelid Festoons, most people develop them as a result of sun 
damage to the fragile skin in the lower eyelid and cheek region. Small 
doses of unprotected sun exposure over our lifetime can be as damaging 
over time to the skin as the few sunburns we had in our youth.
The best way to improve lower eyelid Festoons and Malar Mounds is to 
address the cause, which is the tissue sun-damaged over time.  
I use personally use 
lasers to remove past sun damage and then allow new skin to grow back in
 its place. This new skin has brand new collagen and elastic fibers 
which tighten the skin and this is one of the best ways to improve lower
 eyelid Festoons and Malar Mounds. Please take a look at the attached web link and video.I hope this was helpful.

Zoran Potparic, MD · Answer

It would be in your best interest to delay revision surgery for at least 6 months. This will allow swelling, scar build up, skin tone to recover from injury of surgery. Once your condition is stable and "deformity"  presented in full picture further evaluation and planning of surgical revision should start.You should seek a second opinion by an experienced board certified plastic surgeon in your area. Good luck.

Gustavo A. Diaz, MD · Answer

Since you had surgery in July, I would suggest to at least wait 6 months form the surgery before considering evaluation for a revision. Please consult with a board certified Facial Plastic Surgeon in order to evaluate your concerns and give you suggestions for improvement if needed. Photos of your concern would have helped also to visualize yoru concern.Hope this helps,Dr. Gus Diaz

Looking for a doctor to treat festoons (malar mounds). Any suggestions?

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