Treating Lower Eyelid and Puffy Under-Eye Festoons with Injectables

Under-eye bags are one of the most common signs of aging that effects both men & women. Lower Lid Blepharoplasty is one of the most common surgical approaches to treat this problem, but this surgical technique doesn’t treat festoons – one of the most common causes of puffy under-eyes which effects over 34% of the U.S. population. That’s because festoons are a medical condition where swelling occurs in the lowest portion of the muscle around the eye causing the overlying skin to permanently change.

 

Recently, Dr. Robert Freund began using an injectable to treat festoons that provides permanent results. In fact Dr. Freund’s results were recently presented at the American Society of Ocular Plastic Surgeons.

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What Are Festoons? 

Festoons are a medical condition where swelling occurs in the lowest portion of the muscle around the eye causing the overlying skin to change. Mild symptoms can come and go and get worse with fatigue, lack of sleep and excess salt consumption. Some patients, however, may have large bulges that stick around for a long time can change the overlying skin. These changes from temporary swelling to permanent swelling can be divided into 3 stages: Malar Edema, Malar Mounds, and Festoons.

Stage 1: Malar Edema   
Malar Edema is a temporary swelling in the under eye region that can come and go due to lack of sleep and consuming salty foods.

Stage 2: Malar Mounds
Malar Mounds are a chronic condition where swelling occurs in the under eye region and is permanently visible. Oftentimes the transition between Malar Edema and Malar Mounds can be subtle.

Stage 3: Festoons
Festoons occur after chronic swelling in the under eye region results in changes in the overlying skin.

 

The Injectable treatment for Festoons is ideal for treating patients who suffer with Stage 2 and 3.

  

What Causes Festoons?

There are believed to be many causes of festoons including:

  • Diet
  • Trauma
  • Lack of sleep
  • Excessive sun exposure
  • Smoking
  • Genetics

 

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