I have had extreme puffiness of the upper cheek/under eye area since I was a baby. I am now in my 20's and they have worsened. They seem like fluid filled sacks on top of the bone that runs beneath my eye. I am wondering how I can treat them: products, surgery, diet change, etc? I am considering having a consultation with a surgeon, I just want to know what to expect.
March 20, 2017
Answer: Malar festoons treatment You have indeed what is called malar festoons. These festoons can be either wet or dry festoons. In your case they seem to be wet festoons that typically improve or worsen based on fluid retention. A low salt diet can have some minor effect on them. In you specific case I think that the best treatment option would be a CO2 laser treatment to tighten and shrink that area, probably requiring more than one treatment. In cases were lower eyelid surgery is indicated for other reasons such as eye bags, dry festoons can be improved with a concomitant pinch blepharoplasty. Direct removal of the festoons would leave a scar usually minimally visible if performed correctly. In your case I would advise the laser. Good luck
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March 20, 2017
Answer: Malar festoons treatment You have indeed what is called malar festoons. These festoons can be either wet or dry festoons. In your case they seem to be wet festoons that typically improve or worsen based on fluid retention. A low salt diet can have some minor effect on them. In you specific case I think that the best treatment option would be a CO2 laser treatment to tighten and shrink that area, probably requiring more than one treatment. In cases were lower eyelid surgery is indicated for other reasons such as eye bags, dry festoons can be improved with a concomitant pinch blepharoplasty. Direct removal of the festoons would leave a scar usually minimally visible if performed correctly. In your case I would advise the laser. Good luck
Helpful 2 people found this helpful
March 14, 2017
Answer: Swollen under eyes Good morning and thanks for your question, You're too young for festoons. I do appreciate the lower eyelid swelling and the valley you have in there. This valley is created by the bony attachment of your skin and could be removed with surgery. Without a thorough physical examination it's difficult to tell exactly what's going on. I would doubt that this can be treated with lasers and skin treatments. The cause of this is deeper than skin deep and thus would require some deeper treatments. Another short term option is to try filler in this area- this could just puff out that valley. Find a trained expert who you trust who tells you they can fix it. Your young and very pretty so a little fix will go a long way with you! Hope this helps and God Bless! Dr. Robb
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March 14, 2017
Answer: Swollen under eyes Good morning and thanks for your question, You're too young for festoons. I do appreciate the lower eyelid swelling and the valley you have in there. This valley is created by the bony attachment of your skin and could be removed with surgery. Without a thorough physical examination it's difficult to tell exactly what's going on. I would doubt that this can be treated with lasers and skin treatments. The cause of this is deeper than skin deep and thus would require some deeper treatments. Another short term option is to try filler in this area- this could just puff out that valley. Find a trained expert who you trust who tells you they can fix it. Your young and very pretty so a little fix will go a long way with you! Hope this helps and God Bless! Dr. Robb
Helpful