I tend to get puffy under-eye bags easily and read that the treatment can help drain some of those fluids. The authors have no sources of funding to report related to the writing or submission of this discussion. This device combines the effective stimulation of microneedling with gentle RF heat to boost collagen levels for smoother, healthier skin from the inside out. I highly recommend Dr. Bae. Can You Be Allergic to Makeup? Geronemus, Anolik, Bae & Seidenberg, Pay Online for Patients of Drs. Press question mark to learn the rest of the keyboard shortcuts. It also tightens the subdermal layers. What can be done to reverse my malar bags: filler, RF, CO2 However, the best results are achieved with laser resurfacing as this removes all the old damaged skin and replaces it with brand new skin that has never been exposed to the sun before, and so it is firmer and more elastic, improving the skin laxity. Get the latest news and education delivered to your inbox, Receive an email when new articles are posted on, Please provide your email address to receive an email when new articles are posted on, American Society of Ophthalmic Plastic and Reconstructive Surgery. He offers patients in Philadelphiaand nationally effective and innovative treatments. I am 100% satisfied!! However, the most common and effective treatment option we recommend is SOOF Lift treatment combined with a form of skin resurfacing such as a peel or laser treatment. E-published ahead of print 2017. 2015;42:8794. Our clinics are closed during the lockdown, but we're available for consults and our online store is open. Festoons can be seen at a very young age in those who inherit them from one side of the family. Please try after some time. RF microneedling) is a minimally invasive, non-surgical skin rejuvenation technique that can treat a variety of skin concerns such as uneven skin tone and texture, fine lines and wrinkles, large pores, and poor facial skin laxity. Treated or untreated, this inflammatory skin condition can cause congestion of the veins and lymphatics that drain the eye and cause intermittent swelling and festoons. 1993;20(2):367-385. Patients/methods: Microneedling is a collagen-induction therapy [that] promotes skin rejuvenation, says Dr. Debra Jaliman, a board-certified dermatologist and author of Skin Rules: Trade Secrets From a Top New York Dermatologist. Our doctors will recommend the appropriate number of treatments based on your skin condition. HHS Vulnerability Disclosure, Help Malar oedema/mounds/festoons often remain unaddressed. This septum and the tissues above it can swell with varying conditions, including: Under eye bags and festoons almost always benefit from aggressive treatments. Overall, the combined technique statistically significantly reduced the prominence of festoons (P < .05), and in more severely graded cases, the effect was even greater (P < .01). Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament. Patients seek all sorts of treatments in med spas and from plastic surgeons in an effort to rid them of festoons, yet very few surgeons can effectively eliminate them. By Amanda Mitchell, Aesthetic Plast Surg. Once your skin is prepped, its time to apply a hyaluronic acid (HA)-based serum. Endara M, Oh C, Davison SP, Baker SBThe management of festoons. A: A Genius treatment effectively combats the creases and sagging of festoons. The device (Infini; Lutronic, Inc., Goyang-si, Republic of Korea) consisted of 49 insulated microneedles (7 7 needles, 10 10 mm), whose tips delivered bipolar radiofrequency transmissions. Everyone is welcome in this community; remember to be kind and assume good faith :). Radiofrequency Micro-needling. In summary, the ease of the treatment and the postprocedure recovery process make radiofrequency microneedling a promising treatment option for this challenging condition. 2020;40(3):246-258. Most patients resume their normal activities the same day or the following day. Gentler techniques allow sensitive areas like the eyes to be treated. Malar mounds and festoons: review of current management. Needles are used to create small punctures on the top layer of the skin which [signal] the body to create new collagen and elastin, she adds. Arlington Heights, IL 60005, [emailprotected]. I used the derminator 2. However, there are several risks and I'd like to warn you about them: You should not be doing this every day. You should come prepared with a list of medications and we encourage you to write down your questions before our meeting. Festoons have been much more challenging to treat, as surgery and ablative lasers were more invasive and not always effective. 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. The Morpheus8 needles penetrate deeply into the pouches and discharge the high levels of RF energy required to contract, tighten and sometimes obliterate these fluid and fat filled pouches and to tighten and flatten the subdermal structures. Wolters Kluwer Health Disclaimer. Hi - there are some docs who say that RF microneedling can help festoons. Will really appreciate. In superficial mode, it rejuvenates fine lines around the eyes and on the face and neck. 1996;12(2):77-88. Apart from improving the festoon area it also tightens and smooths the under-eye skin. Microneedling with radiofrequency (a.k.a. 2015;31:5052. One responded and told me it seemed that first pass of 2 mm, 2nd and 3rd pass of 1 mm helped festoons. You will see the best results six to eight weeks following treatment, although you may notice improvements after one treatment. How do you handle them? There are various treatments proposed for this pathologic entity as well as non-standardized nomenclature. Originally from Los Angeles, she currently resides in Brooklynher home for the last five years. HIPAA Policy | Privacy Policy | Terms of Use, 610 W. Germantown Pike, Suite 161, Plymouth Meeting, PA 19462. The name of this practice, you ask? The only side effect was erythema in the areas of treatment, which diminished over a few days and could be easily covered with makeup. We have presented our technique at national aesthetic meetings and are preparing the largest series in the country looking at this treatment to reduce festoons. This is important as usually with RF microneedling, the device goes much deeper than that, so if you decide to go for RF microneedling with Morpheus8, you should be sure your doc will do the passes over your festoons in the above manner. You may see some results immediately. As someone with skin on the youthful side of the spectrum, I was honestly not expecting much from my microneedling experiment. As previously mentioned, I decided to try microneedling for a total of six weeks. Newberry CI, Mccrary H, Thomas JR, Cerrati EW. A classic procedure for removing fat through small incisions, liposuction techniques have advanced a great deal in the last few decades. Correspondence to Dr. Jeon, 317 East 34th Street, 11th Floor, New York, N.Y. 10016, [emailprotected]. Malar bags or festoons are not a result of aging. Viewpoints may present unique techniques, brief technology updates, technical notes, and so on. Kikkawa DO, Lemke BN, Dortzbach RK. Careers. Eye doctor havent heard of it and I basically diagnosed myself. What is Microneedling? After the Third Treatment: By now my complexion held onto its softness and I did start to notice a longer-lasting change in clarity and glow factor. Your message has been successfully sent to your colleague. If you develop festoons, it can cause an unhealthy appearance. New Treatment for Malar Festoons and Big Eyelid Bags Clin Plast Surg. Call to reserve your spot. When it comes to microneedling, we love ORA for all of its at-home treatment devices and tools. We cannot search for an empty value, please enter a search term. Your skin becomes smoother, firmer, and more youthful as it undergoes cell turnover and collagen production increases. They rarely improve with normalization of thyroid function. Festoons, mounds, and bags of the eyelids and cheek. No complications were reported, and no patient requested further treatment, Ramesh said. Please contact the moderators of this subreddit if you have any questions or concerns. Festoons are areas of swelling that occur in the middle of the cheek. Prior to the surgery, patients will meet with us to discuss their goals and expectations. Updated Management of Malar Edema, Mounds, and Festoons: A Systematic Botulinum toxin, carbon dioxide lasers, chemical peels, cautery, and tetracycline injections have been used as nonsurgical options, but the results have not been reliable.2 Despite such efforts, treatment of festoons remains difficult and no standard treatment exists.3,4 Here we report a simple, noninvasive, and nonsurgical treatment method using microneedle radiofrequency technology to improve and possibly resolve festoons. Next, glide the derma-roller across each area of your face vertically, horizontally and diagonally, repeating each direction twice. 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. They are the bags that fall on the cheeks, below the lower eyelids, that make you look like you haven't slept for weeks. Epub 2011 Mar 17. Successful non-invasive treatment of festoons. Plast Reconstr Surg. As a result, the skin regenerates itself for a plumper, smoother and firmer surface. Our customized strategies to combat wrinkles include laser resurfacing, dermal fillers, and wrinkle relaxers. David H. Song, M.D., M.B.A., 444 E. Algonquin Rd. By Millburn Laser Center | 2019 All Rights Reserved. We hope the information will be useful for you to become more educated about your health care decisions. Aesthetic Plast Surg. Can a series of Microneedling treatment help remove malar mounds? Recurrence of the problem was common., Since festoons are caused by a combination of skin laxity and weakening of the muscles and tissues under the eyes creating spaces that allow a build-up of fat and fluid then treatment should aim at reversing these.. Truth About Microneedling RF Treatment by LA Dermatologists - Ava MD We report a case of 44-year-old women with malar mound and festoon. more There are currently no items in your cart. You can not fully sterilize the needles at home. On January 13, 2021. 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. Aesthet Surg J. Have been his patient for several years and would highly recommend him! They are extremely difficult to treat and often misdiagnosed. A: Although you cant do much to affect aging, gravity, or genetics, you can help prevent festoons by maintaining a healthy lifestyleeating a balanced diet, exercising regularly, and avoiding alcohol and smoking. Bookshelf microneedling for festoons. Dr. Allan Wulc, a board-certified plastic surgeon at W Cosmetic Surgery, is a pioneer in the treatment of festoons. I use the derminator 2 but have only used it on my scalp, not super confident in aiming at my face just yet though. 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. A topical anesthetic mixture of lidocaine 2.5% and prilocaine 2.5% was applied 15 minutes before the procedure. 2011 Aug;35(4):522-9. doi: 10.1007/s00266-010-9650-3. 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. 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. The most effective treatment for eliminating these spots and other skin pigmentation is laser therapy, which usually includes little to no downtime after treatment. Severe festoons become moderate and moderate festoons become mild,Sathyadeepak Ramesh, MD,said at the American Society of Ophthalmic Plastic and Reconstructive Surgery meeting. It can be used to treat the festoon/under-eye area alone or the full face to capitalise on the skin regenerative benefits. Kpodzo DS, Nahai F, McCord CDMalar mounds and festoons: Review of current management. Dr. Allan Wulc is a pioneer in the treatment of festoons. Your submission has been received! Festoons, also known as malar bags, are fluid-filled pouches that occur in the midface. If youre bothered by festoons, you dont have to live with them. 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. They remain a difficult entity to treat. Healthy adults with realistic expectations are the best candidates for festoons surgery. I had full correction of my cheek area which included reducing my nasolabial folds, the sagginess under my eyes and lifting the heaviness in my cheeks. 2014;34(2):235-248. Are u in the uk by any chance??? Hello I'm dr. Greg Chernoff and I'm going to show you a procedure today that's I've been working on for the past 10 to 15 years and that's in perfecting the softening of malar festoons. Etiology and Treatment of Congenital Festoons. For this reason, Dr. Jaliman recommends patients try microneedling to improve the firmness of their skin, as well as the texture and overall appearance of large pores. Festoons and eye bags are often confused because they appear in close proximity on the face. *MDs perform 100% of all medical and cosmetic treatments. She is a graduate of Academy of Art University with a Bachelors Degree in Fashion Journalism. as the first step in rehabilitation of festoons.in the event of a previously botched lower lid filler treatment. Deeper treatment, hyaluronic acid fillers, or surgery are generally needed. 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. Festoons & Bags Under Eyes New York, NY | Laser Center Dr. Shelton is an artist, very caring, gentle and gifted. Jessie Quinn is a writer and editor with work published in NYLON Magazine, StyleCaster.com, Girlboss.com, Marvel.com, and more. Use the enter key to expand submenu items. For this reason they are often called midcheek mounds or midmalar mounds. In Jessies free time, you can find her creating content for her beauty blog, Hair Skin Kale, testing out DIY beauty recipes, exploring her neighborhood, or binge-watching episodes of Friends. Morpheus8 is a revolutionary micro-needling treatment, which uses fractional radiofrequency (RF) to contour and lift the skin. Under eye bags and festoons almost always benefit from aggressive treatments. 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. Sorry mr. bot but that was not helpful I'm well aware of the precautions needed for microneedling wait why am I talking to a robot, @chemecalia sorry to be a pain but I have a mala bag directly in my tear duck which only showed up a month ago. Oops! Some benefit can be accomplished with filler injection with Restylane Lyft or Voluma under the malar bag to camouflage the Festoon What complications can come from a blepharoplasty? Something went wrong while submitting the form. Mild swelling and redness of the skin may occur for 1-2 days, but these side effects should not interfere with your daily routine. Microneedling is a cosmetic procedure that uses small, sterilized needles to prick the skin. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. 5. Eye bags form directly under the eye and are usually caused by a combination of skin laxity and small fat pockets. Both patients opted to receive additional treatments, which resulted in additive benefits. *Photos have not been retouched or edited. With extensive experience using this device, our highly skilled physicians will customize your treatment to meet your needs and keep you comfortable. https://www.healio.com/news/ophthalmology/20191011/festoon-severity-diminished-with-combined-radiofrequency-microneedling. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. This doctor is a laser genius. By Carina Wolff, 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. Festoon Severity Diminished with Combined Radiofrequency, Microneedling As evident in Figure 1, the treatment also resulted in an overall rejuvenation of the lower lid complex. By Janeca Racho, Results are not guaranteed. We tried the celebrity-approved treatment for six weeks and share our experience up ahead. Plastic and Reconstructive Surgery141(6):977e-978e, June 2018. Festoons are complicated issues. Overall, the combined technique statistically significantly reduced the prominence of festoons (P< .05), and in more severely graded cases, the effect was even greater (P< .01), the release continues. Please see someone with experience in treating this area. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. I had Mohs surgery a few weeks ago, I healed quickly and my nose looks amazing, 46 stitches inside and out and very little scaring. Furnas DW. Similarly, radiofrequency microneedling without association with other techniques would not be the best choice for the treatment of festoons, because despite causing a potential reduction of fat and decreased sagging skin in the lower eyelid, it is not enough to bring the best outcome to the patient 10. So, with Dr. Jalimans recommendation of performing the at-home treatment once every two weeks, that meant a total of three treatments. No complications were observed. Check to see if you qualify for a current or upcoming clinical trial. Press J to jump to the feed. From 2015 to 2019, 29 patients underwent four combined radiofrequency and microneedling treatments at intervals of 4 weeks. , which is reserved for patients with more severe festoons, combines microdroplet liposculpture with dual erbium laser resurfacing. Festoons are still the bane of the existence of plastic surgeons. Small bends can be imperceptible to the naked eye and can cause unwanted damage to your skin. "Microneedling is a collagen-induction therapy [that] promotes skin rejuvenation," says Dr. Debra Jaliman, a board-certified dermatologist and author of Skin Rules: Trade Secrets From a Top New York Dermatologist.