Festoons, please help. What can I do to treat them?

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Festoons are a difficult cosmetic problem to treat, as they are caused by a combination of skin laxity, fat loss, and fluid accumulation in the lower eyelid area. It sounds like you have already tried some treatments, but have not achieved the results you were hoping for.

It's important to remember that there is no one-size-fits-all solution for festoons. Treatment options may vary depending on the severity of your condition, your overall health, and your goals for the procedure. Here are a few potential options that you can discuss with your doctor:

Fillers: Injectable fillers such as hyaluronic acid can be used to add volume to the area under the eyes and reduce the appearance of festoons. The results of fillers typically last several months to a year.
Surgery: In some cases, surgery may be recommended to address festoons. The type of surgery will depend on the severity of your condition, but may include lower eyelid surgery or midface lift.
Laser resurfacing: Laser resurfacing can help improve the texture and tone of the skin around the eyes, which can reduce the appearance of festoons.
It's important to consult with a board-certified plastic surgeon who has experience in treating festoons. They can evaluate your condition, discuss your goals for the procedure, and recommend the best course of action for you.

I hope this helps.
Best of luck !