Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. By Jessie Quinn, - YouTube Morpheus 8 (also known as the Fractora) is a radiofrequency (RF) needling device that is used for micro needling, radiofrequency tightening, and fractional resurfacing for skin rejuvenation, tightening and remodelling. 2014 Feb;34(2):235-48. doi: 10.1177/1090820X13517897. He receives author royalties from Elsevier. It requires 10 12 days downtime however, this treatment will also give you a full-face skin regeneration that is permanent (over 10 years) and unparalleled in results by any other facial treatment. The views, opinions, and conclusions expressed in the Viewpoints represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. By Stephanie Capretta, SkincareAddiction is a friendly community of skincare enthusiasts. microneedling for festoons One responded and told me it seemed that first pass of 2 mm, 2nd and 3rd pass of 1 mm helped festoons. microneedling for festoons. Mild festoons can often be treated with a combination of fillers to address volume loss as well as CO2 laser resurfacing and radiofrequency microneedling to address tissue laxity. The name of this practice, you ask? No one can escape the aging process, but that doesnt mean you cant turn back the clock on some of its visible effects. Aesthet Surg J. A full-face laser resurfacing is recommended and is a single procedure carried out using an Erbium-YAG laser under twilight-type sedation and anaesthesia. Unauthorized use of these marks is strictly prohibited. Apart from improving the festoon area it also tightens and smooths the under-eye skin. Use the tab key or shift plus tab keys to move between the menu items. Festoons, also called malar mounds or cheek bags, are redundant folds of loose skin, muscle, fat, and/or fluid that appear at the lower eyelid-cheek interface. Viewpoints should be submitted electronically via PRS enkwell, at www.editorialmanager.com/prs/. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Dr. Anolik is an artist! For more information, please refer to our Privacy Policy. See an experienced plastic surgeon in your area for an evaluation of what would be best for you. 1) over the course of 3 months and patient 2 has received five treatments over the course of 1 year. Touch-up procedures can be scheduled to preserve your youthful appearance if you notice symptoms reappearing. Our full-time, onsite research division is discovering new treatments for a wide range of skin concerns. When done in-office, treatments are spaced a few weeks to a month apart. If you see that I am replying to something out of context (eg. This will significantly speed up the recovery time. Festoons also known as mid-cheek mounds, malar bags, or malar festoons are swollen bags that appear beneath the lower eyelid and around the cheek. Huang J, Yu W, Zhang Z, Chen X, Biskup EClinical and histological studies of suborbital wrinkles treated with fractional bipolar radiofrequency. Avoid skincare products with any reactive ingredients like retinol or vitamin C if you have particularly sensitive skin; the combination of the needles and these ingredients may be too harsh.We love Tatcha's The Dewy Serum ($88). 32 Typically, excessive skin redundancy exists in moderate-severe festoons and solely midface lifts will not suffice. If Dr. Wulc believes that you are a good candidate to have your festoons addressed, we will go over our technique in detail and answer any questions you may have. When it comes to skin care, were willing to try just about anything in the name of younger-looking skin. The most effective treatment for eliminating these spots and other skin pigmentation is laser therapy, which usually includes little to no downtime after treatment. By Mellanie Perez, Some error has occurred while processing your request. Please be careful with your skin and your health! Scot Glasberg, M.D. Under eye bags and festoons almost always benefit from aggressive treatments. Note: though I noticed that my skin felt a little sensitive afterward, I didnt experience any pain throughout this experience. The two treatments can be combined for optimum results. However, there are several risks and I'd like to warn you about them: You should not be doing this every day. Laser & Skin Surgery Centers director, Dr. Roy Geronemus, co-authored a paper, published in June 2018 in Plastic and Reconstructive Surgery, describing the use of RF microneedling to treat festoons. There are many options available to keep you comfortable. If the festoons are moderate, patients can profit from radiofrequency. and transmitted securely. Ophthalmic Plast Reconstr Surg. By LASER & SKIN SURGERY CENTER OF NEW YORK | 2023 All Rights Reserved. He has also been featured in publications where he discusses this treatment option, including The Aesthetic Guide. MeSH to maintaining your privacy and will not share your personal information without Not to mention: using the Face Roller System can also help fade scars, increase absorption of skin care products, blur the look of stretch marks and even be used on the scalp to prevent hair loss. This allows us the opportunity to get to know the patients goals, perform an exam of the eye area, and ensure that the patient is healthy enough for surgery. If not, we will suggest some alternative options. However, in milder cases, he added, You can make a modest improvement in festoons; you cant eradicate the festoon, according to a media release from Healio. What I can tell you is that microdneedle is not likely to cause harm but it is also not likely to provide the help you need. 3. Topically applied remedies such as eye creams or products do not help because they cannot fix or correct the underlying structural problems. We Tried Microneedling for 6 Weeks, Here's What Happened - Dermstore Truly an amazing experience. 2018 Aug;42(4):1024-1032. doi: 10.1007/s00266-018-1129-7. No complications were reported, and no patient requested further treatment, Ramesh said. Press question mark to learn the rest of the keyboard shortcuts. This never works and usually makes the situation worseand the patient more desperate to find a solutionor makes the patient despair about ever finding one. 2014;34:235248. Hi, I was wondering what the consensus is for microneedling on festoons is which are like under eye bags but more so under your cheekbones, I know festoons are caused by trapped fluid which can lead to scaring overtime and the discolorment it causes and swelling is rather irritating since I'm only 21. Dermarolling can improve the appearance of atrophic scarring when done correctly. Treatment Options for Lower Eyelid Festoons - Plastic Surgery Key Over the past 30 years we have contributed to the development and testing of many devices, fillers and treatments that are now standard care, so our patients know they are always receiving the most innovative, cutting-edge treatment available. Kpodzo DS, Nahai F, McCord CDMalar mounds and festoons: Review of current management. more microneedling for festoons Festoons are fat puffy excesses that occur above the upper jaw bone. Roy G. Geronemus, M.D.Laser & Skin Surgery Center of New YorkRonald O. Perelman Department of DermatologyNew York University School of MedicineNew York, N.Y. Viewpoints, pertaining to issues of general interest, are welcome, even if they are not related to items previously published. A topical anesthetic mixture of lidocaine 2.5% and prilocaine 2.5% was applied 15 minutes before the procedure. Patients may experience scarring, infection, anesthesia complications, or a poor cosmetic outcome. sharing sensitive information, make sure youre on a federal Our clinics are closed during the lockdown, but we're available for consults and our online store is open. Festoon severity diminished with combined radiofrequency, microneedling Treatment should be directed at regenerating both the dermis (skin layer) and the sub-dermis structures in order to regain long term elasticity and support. This was my 3rd in a series, which is standard, but it was only just prior to the 3rd one that I came across a yet-to-be published study on pubmed, that was looking at this very thing, ie Morpheus8 treating festoons. Facial Plast Surg Clin North Am. Aesthet Surg J. . Morpheus8 RF microneedling is non-invasive, performed under local anaesthetic, has minimal downtime (there is swelling and redness for a few days) and can easily be repeated if required. From 2015 to 2019, 29 patients underwent four combined radiofrequency and microneedling treatments at intervals of 4 weeks. The location and affiliation information should read as follows: Arlington Heights, Ill. From the American Society of Plastic Surgeons/Plastic Surgery Foundation. 1, Ste. Updated management of malar edema, mounds, and festoons: a systematic review. The site is secure. Thank you! As with any surgery, there are minor risks involved with festoon treatment surgery. You should come prepared with a list of medications and we encourage you to write down your questions before our meeting. 2020;40(3):246-258. She is the consummate professional. Only this way can we achieve long term improvement.. Derma-Rolling 101: Erase Eye Bags and Wrinkles With This Easy Tool - Byrdie Please enable it to take advantage of the complete set of features! For this reason they are often called midcheek mounds or midmalar mounds. Dr. Wulc and our nurses meet with every patient in a one-on-one consultation at his Philadelphia area practice before creating any surgical plan. Reddit and its partners use cookies and similar technologies to provide you with a better experience. It is suitable for use across the face, neck, chest and the backs of the hands: effectively reducing the appearance of puffy eyelids, loose skin, swollen eyebags, nasolabial folds, jowls and double chins. They remain a difficult entity to treat. Festoons have been much more challenging to treat, as surgery and ablative lasers were more invasive and not always effective. Among many changes that occur with aging, festoons present a unique challenge to the treating physician. Sub-dermis regeneration Radiofrequency (RF) microneedling (Morpheus8) is proving to be the most reliable and safest option to achieve subdermal as well as dermal regeneration. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. You will see the best results six to eight weeks following treatment, although you may notice improvements after one treatment. Gentler techniques allow sensitive areas like the eyes to be treated. This is basically what mine look like. Two patients, a 56-year-old Caucasian woman (patient 1) and a 62-year-old Caucasian woman (patient 2), underwent treatments for their festoons with a fractionated radiofrequency microneedling device. Dr. Chernoff Malar Festoon - Chernoff Cosmetic Surgery The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according to a study. I saw several well-respected cosmetic dermatologists, none of whom knew what to do. 1993;20(2):367-385. Topical anesthesia is administered before the procedure to reduce discomfort, Downtime is minimal and results are long-lasting, Side effects are relatively mild and may include redness and swelling for 1-2 days, Improvement is visible a few days after the procedure and continues to develop for up to 6 months following treatment, Some patients may require a series of treatments for the best outcome, or touch-up treatments if the festoons recur. Geronemus, Anolik, Bae & Seidenberg, Pay Online for Patients of Drs. 2021 May;29(2):301-309. doi: 10.1016/j.fsc.2021.02.005. Festoons are composed of lax skin and orbicularis muscle that hang between the medial and lateral canthi, and the pathophysiology is likely multifactorial; some of the proposed mechanisms suggest stretching of the orbitomalar ligament and lymphatic imbalance.1 Many different surgical approachesincluding microsuction, flaps, midface lift, and excisionshave been tried with variable success rates. Kpodzo DS, Nahai F, McCord CD. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Microneedling: Benefits, Side Effects, Cost, Results - Healthline Not sure I'll have another session for it or not. Laser & Skin Surgery Center of New York, Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, N.Y. Most patients only need to take 7 days off work. Microneedling Festoons hostdeficti1975. The https:// ensures that you are connecting to the Causes of festoons vary, but they can often be attributed to genetics, sun damage, lifestyle factors, or the natural aging process. We Asked the Experts. Fortunately, our treatment is applicable to most patients with this condition. Is INTRAcel microneedling safe for all skin types. Microneedling Festoons - Telegraph You may notice improvement after one treatment, but the best results come with 2-3 treatments. With years of medical experience our doctors, Dr. Jared Mallalieu and Dr. Ross VanAntwerp, specialize in bringing out the best in people through our unique laser and cosmetic procedures. Conclusion: Answer: Malar Bags or Festoons are difficult to treat Surgical correction of malar bags requires a visible incision starting at the side of the eyelid and extending out on the cheek. They have not experienced any scarring, infection, or recurrence from the treatments. Please note the following criteria: Authors will be listed in the order in which they appear in the submission. I also have this problem. Often other signs like loss of the outer part of the eyebrow may be present. My under-eye bags came back (as they do), so I decided to focus on them again. Our doctors will recommend the appropriate number of treatments based on your skin condition. However, some patients may see their festoons return over time. You will probably find the best result from a combination of treatments. However, this technique often produces inconsistent results and has not worked well for us in the treatment of festoons. For this at-home experiment, we chose the ORA Microneedle Face Roller System, which has a needle depth of 0.25 mm. Hana Jeon, M.D.Laser & Skin Surgery Center of New York. As we previously mentioned, when selecting a derma-roller, Dr. Jaliman suggests going with one that is 0.3 mm or lessespecially if its your first time. Deeper treatment, hyaluronic acid fillers, or surgery are generally needed. You can do this all over or work in zones (adding serum in between each area you go over with your derma-roller). In addition, festoons can bump up against your glasses, causing extreme discomfort and self-consciousness. If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us at (212) 941-5055. Because of these risks, ScA does not recommend attempting dermarolling or dermastamping at home. With more than 100 lasers and energy devices to choose from and decades of combined experience, they will customize your treatment to your precise needs and goals to ensure the highest level of care and superior results.