What is the best approach for these festoons? (Photo)

Question

I started noticing a worse on this for 2 or 3 year ago. I used to rub the towel against my face and must have caused them, it's more pronounced in one side than another. Are this really festoons? It depends on the light to show up. Can I use hyaluronic fillers or it's going to make it worse? How can a I treat them? It's annoying. Please help me. Thanks

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Camille Cash, MD · Answer

Festoons are genetically linked, so you did not cause them from rubbing your cheek.  They are tricky to treat unfortunately.  Fillers in some situations can actually make the festoon appear heavier.  You may want to consider FaceTite combined with Morpheus8 treatments.  This can sometimes help improve the overall look of festoons.

Leonard Grossman, MD · Answer

The condition you have is purely hereditary and most likely comes from your father, but that again is not his fault either. This condition can easily be treated and pretty much cured with a simple procedure called fat grafting. Once the fat is grafted into the cheek area it will restore the volume and the physiology of the area, completely obliterating the condition you currently possess. Make sure you go to a plastic surgeon who is extremely well-versed in fat grafting techniques, as a good result should be extremely natural, as well as almost permanent. I hope this helps and good luck from New York City plastic surgery

David A. Schlessinger, MD · Answer

Festoons are prominent cheek fat pockets that swell. Treating them can be a real challenge. We have used many different treatment modalities including laser, microneedling with radiofrequency, surgery and injectables. Most of the time we need to do a combination of these treatments.In your case you have an area of relative hollowness next to your cheek fat pad. Injecting a filler that is not hydrophillic (doesn't attract water) such as Radiesse in the hollow area can help reduce the appearance of the festoon. If it is still prominent after filler injection you could proceed with an energy device such as microneedling with rf to reduce the festoon. I also recommend a low salt "clean diet" to reduce overall inflammation that can cause Festoons to well.As Festoons are notoriously difficult to treat you need to seek the help of an Board Certified Surgeon that has experience treating festoons.

Robert T. Buchanan, MD (retired) · Answer

First, you do not have festoons, you simply have loss fill of the malar area. This is best treated by filling the area with either fat or off the shelf fillers. It must, however, be done with the correct filler by a true expert in the area.

What is the best approach for these festoons? (Photo)

Answers (5)

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