Understanding Festoons and How to Treat Them

By Adam J. Scheiner, MD, Laser Eyelid and Facial Plastic Surgery

Posted on | By Adam J. Scheiner, MD | Comments ()

Until recently, the primary treatments for festoons were surgical removal, oral diuretics and steroid injections, but these procedures yielded minimal and often temporary results. Even blepharoplasty lower eyelid surgery, which is a common treatment for sagging eyelids, does not provide optimal results for the festoons condition and can even exacerbate the problem.

When Eyelid Surgery Isn’t Enough

Blepharoplasty rejuvenates the appearance of the eyelids for many patients, but individuals with festoons require additional treatment. With eyelid surgery alone, the fullness of the lower eyelid is removed above the festoon, which then highlights the puffy area making the issue even more obvious.

Because direct excision of the festoons results in unacceptable scars and other typical treatments are temporary or unsuccessful, patients suffering from festoons and malar mounds are left wondering what they can do to achieve a healthy, vibrant and more youthful look.

There is now a new specialized laser resurfacing process to treat the condition and manage the critical wound healing protocol following the procedure. Taking advantage of these latest advances in laser application and wound healing makes it possible to dramatically improve the festoons condition. When utilized along with lower eyelid surgical rejuvenation, the procedure leads to a more natural and complete revitalization of this expressive part of the face.

A bonus to the festoons laser resurfacing procedure is the fact it can remove precancerous areas that may be below the surface, as well as those already visible on the skin. While the festoons themselves are not cancerous, doctors have discovered they can be markers for pre-cancerous skin conditions.
Adam J. Scheiner, MD

Article written by Adam J. Scheiner, MD
Laser Eyelid and Facial Plastic Surgeon