What should I do about my festoons/malar mounds? (Photo)

Question

Iv had them since I was a little kid, I'm 18 now and they just get worse by the year. PLEASE HELP

Mathew A. Plant, MD, FRCSC · Answer

You don't appear to have festoons but you do have malar mounds and nasojugal grooves (tear troughs). The best thing to treat this in your age group is a filler in the nasojugal groove. This could be an HA filler like Restylane or Juvederm or your own fat. Book a consultation with a board-certified plastic surgeon near you to see what your best option will be. Hope that helps!

Jose Rodríguez-Feliz, MD · Answer

Thank you for posting your pictures. The line you are seeing dividing your lower lid from your cheek is known as the naso-jugal groove. This line gets accentuated when the malar fat pad descends secondary to gravity pulling forces and lack of structural support. The fact that your canthal tilt is neutral or slightly negative (lateral corner of your eye is slightly lower), tells me that your cheek structure has less support and you are prone to see early changes in this area due to pulling gravitational forces. Fillers are a great way to create a lift and restructure the cheeks and will help eliminating the naso-jugal groove. Radiesses and  Voluma XC are temporary options (no surgery required), but if you like the results and would like more permanent results, then you can consider fat grafting. Hope this was of some help. Good Luck!

Gary L. Ross, MBChB, FRCS · Answer

You do not have festoons but a combination of malar mounds with tear trough formation (naso jugal groove). Subtle fat injections or filler can be used but you need to be careful in this region and you need to consult with a PS with experience in treating this.

Brian Windle, MD (retired) · Answer

I am sorry that you have this problem.  Fortunately, you do not have festoons which
are bags under the lower eyelids that are caused by swelling that gets trapped
by a ligament that extends from the bone to the skin under the eye.  Your problem is more structural in nature and
is called a nasojugal groove.  While
normal, your groove is slightly deeper than many and as a result causes a
shadow which makes it look even worse.  This
can be filled and there are a number of fillers that will work to improve this
groove.  I prefer the long term filler
Bellafill (it used to called Artefill) since it can be placed quite shallow and
therefore the result will be better and longer lasting.

Have added a video about fillers for you here as well as a
web link so that you will have more information.I hope that helps.Best regards.

What should I do about my festoons/malar mounds? (Photo)

Answers (4)

More Eyelid Surgery Questions

My eye specialist has recommended bilateral lateral canthoplasty surgery. Is this procedure likely to fix my watery eyes?

Cortisone injection or laser for treatment of scars after upper blepharoplasty??

What is the gap on the outer corner of my eyes and how can this be fixed? How much will it cost?

Puffy Bags under eyes only when smiling. Any suggestions? (photos)

Do festoons , malar bags , respond to non invasive skin tightening procedures lasers / Ultrasounds ? Rf yes, which one? (photo)

Is it normal for blood to gush out of the eye after a lower blepharoplasty?

WE SEND PRETTY
EMAILS