Are these festoons and what can I do about them? (Photos)

Question

Female, 23 5’3 135lbs Fair/medium skin Usually dehydrated to be honest

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Kellie Satterfield, MD · Answer

Hey Sumvia, the area circled in your photos does appear like early changes in the skin that we would call festoons. Have you had tear trough filler in the past? If so, sometimes the filler can migrate after several years and appear like fullness in this area. If not, the changes you are seeing may be related to genetics and sun damage. The best thing you can do to prevent worsening is to use sunblock everyday. If you have had filler I would try dissolving the area first. If you haven't had filler, these changes would likely be best treated with laser resurfacing, such as with a fractionated CO2 laser, to tighten the skin. 
Best, Dr Kellie Satterfield, MDSeattle, WA

Are these festoons and what can I do about them? (Photos)

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Are these festoons and what can I do about them? (Photos)

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