Will filler help my under-eye festoon issue? I already have Radiesse and Juvederm injected in the surrounding area. (photo)

Question

I believe the concerns I have with my under-eye area is due to festoons. I have not had any filler in over a year, but did previously have radiesse injected in my cheek area and juvederm in the tear trough area. I am not sure if it was these procedures or aging in general that caused this problem, but I am very embarrassed by it and am looking for a best-case solution.

John J. Martin, Jr., MD · Answer

You are seeing the malar fat pad, which sits on top of the bone there.  This can get more prominent as we age.  The fillers to the cheek can often help pull this fat pad up, or at least change the shadows so you don't see it as much.   You may want to try a little filler now below the fat pad in the demarcation line you have there.  If you don't like it, it can be removed.

Jason Emer, MD · Answer

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.

Benjamin Caughlin, MD, FACS · Answer

One thing is to consider fat transfer. I do think volume (filler or fat) can help but people often need a significant amount and with fat we have essentially unlimited supply.It is worth researching at the least.Hope this helps.Best of luck,DrC

Mitchell A. Kline, MD · Answer

Thank you for your question!
I do not believe that you have the problem of under-filling.  You should consider the edema as a possible lack of drainage from over filling.  I would consult your physician.

Alain Michon, MD · Answer

Thank you for your question and pictures. Dermal fillers can certainly be used to decrease the festoon effect and it will give a better transition with the surrounding tissue. I recommend seeing an expert for a proper evaluation and treatment plan. Best of luck,

Will filler help my under-eye festoon issue? I already have Radiesse and Juvederm injected in the surrounding area. (photo)

Answers (7)

Answer: Filler and The Under Eye Area

Answer: Filler and The Under Eye Area

Answer: Dermal fillers for festoon issue/under eye

Answer: Dermal fillers for festoon issue/under eye

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Will filler help my under-eye festoon issue? I already have Radiesse and Juvederm injected in the surrounding area. (photo)

Answers (7)

Answer: Filler and The Under Eye Area

Answer: Filler and The Under Eye Area

Answer: Dermal fillers for festoon issue/under eye

Answer: Dermal fillers for festoon issue/under eye

Browse related questions

Recommended reading

Everything you need to know about Cheek Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.