How To Treat Festoons or Malar Mounds: Everything You Need to Know

How To Treat Festoons or Malar Mounds

Festoons are generally defined as “a curtain of fabric draped and bound at intervals to form graceful curves”. So, people having festoons would also call them “graceful”. It is a term given for a skin condition, also known as malar mounds.

These are the redundant folds of the loose skin, fat, muscle or fluid that appear at the lower eyelid-cheek interface.

Festoons are quite difficult to treat and it is often misdiagnosed. Several issues like sun damage, alcohol, facelifts, sinus problems. Allergies, injected fat or filler, blocked clear duct can cause festoons to occur.

Festoons can lead to damaged skin that results into folds in the lower eyelids and swollen mounds on the cheeks as well.

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If not if it is not treated in time then you would be required to seek lower eyelid rejuvenation.

In this blog, you will get to know how to treat festoons with some effective ways and lot other things related to this eyelid issue.

Understanding the difference between Festoons and Eye Bag:

Generally, the puffy circles underneath the eye are bags and they feel firmer to the touch. They are quite difficult to move from one side to another side.

When you look up, eye bags become more pronounced. And when it comes to festoons, it sits on high on the cheek and it feels quite soft to touch.

Festoons can easily be removed and don’t look more pronounced when you look up. And for eye bags, you need some special and effective home remedies to remove eye bags or you need to get treated with blepharoplasty surgery to remove eye bags.


What causes Festoons?

Do you have any idea what causes festoons? If yes, then it is better but if you don’t know the reasons for causing festoons then read here.

There are some factors that contribute to the eye bags hanging in a hammock-like fashion and the puffy eyes that are characteristic of festoons. They include:

  • Genetics
  • Sun exposure
  • Smoking
  • Aging

If you have festoons then there is a structural problem beneath the surface of the eyelid.

Most probably, this is believed that the underlying muscle-forces cause stress in the skin in the specific part of the face.

The specific area then undergoes subtle with sun exposure and time but it progressively leads to damage to the elastic fibers in the skin.

This will then create a kind of gap in the skin layers and it will lead to great eye puffiness and swelling. But swollen eyelid can be treated with some home remedies.

When you consider at the causes of the festoons then you can understand how gels, eye creams and some other external treatments are ineffective.

A topical content cannot cure the issue of herniated tissue and other structural problems.

How To Treat Festoons?

How To Treat Festoons

In order to know how to treat festoons, until the present, oral diuretics, surgical removal and steroid injections were the only primary treatments for festoons. However, these procedures can now yield minimal and it will be temporary results.

But now, with the growing understanding of festoons, most of the facial and eyelid cosmetic surgeons are specializing in the treatment of festoons.

There are several surgeons now available who are specialized in the treatment of facial as well as eyelid surgery.

Physicians have now observed a lot and found the best ways to treat festoons. Yes, festoons can now be treated well with some surgical and non-surgical ways as well. In the below section, you will get to know about some treatments for festoons one by one:

Laser Skin Resurfacing for Festoons

laser skin resurfacing

Laser skin resurfacing is a procedure that utilizes sophisticated Carbon Dioxide (CO2) lasers and Erbium:Yag (Er:Yag).

It has proven to be the best option for the treatment of festoons. This effective procedure used to take complete advantage of creating a wound in the festoon area.

Also, it used to coaxing the skin to heal this festoon area with better quality skin.

The skin can be healed without any problem with scarring by only injuring the skin with a small amount of injury. The skin will be recovered with a better quality skin.

How Does It Work?

Laser Skin Resurfacing treatment for festoon can be accomplished in just about 10 minutes per eyelid. However, invasive surgical procedures are more intensive than non-surgical treatments.

This surgical procedure provides frequent results which are generally less than optimal.

Regular follow-up appointments after the procedure are quite important and allow for better management of the healing process. It also allows for early recognition of complications.

If you have a surgeon who is dedicated to detecting possible complications and postoperative laser skin healing care is quite vital to the aesthetic and clinical outcome.

When expert performs this procedure, reducing of festoon by modifying laser resurfacing is believed to be the best treatment.

This treatment can improve the complete aesthetic outcome in a rejuvenation of the lower eyelid as well as the cheek region.

Hyaluronic Acid to Treat Festoons

Hyaluronic Acid

Hyaluronic acid injections are another option that can be used to treat festoons.

These injections do not treat the cause of the festoon, but it can improve their appearance by simply lifting the prolapsed malar bags.

Such injections will give you some extra support to the orbicular muscle so that it can create the effect of a mini facelift.

This will also improve the general under eye appearance by just filling in hollows near to the festoon areas.




Another well-treated option for festoon is the thermage.

If your eye festoons used to appear to be a result of sagging eyelids then thermage will surely help you out.

Thermage makes use of radio frequencies to tighten facial skin.

This treatment is very safe to use around the areas of eyes and to treat festoons as well.

These are the three ways you can apply to treat festoons. Apart from these, surgery is the last option. But, does it really help? Even I don’t know perfectly, let us go through the below section to know this better.

To  Know More About Festoons, Click Here

Will Surgical Methods Help In Treating Festoons?

There are several people who seek lower eyelid rejuvenation along with the lower eyelid surgery.

However, surgery has not shown any desirable results as there are no known methods of complete treatment.

This is because the condition of the eye make the lower eyelids look worse after the surgery.

Apart from all these things, festoons can be easily controlled by healthy living and proper diet.

So, it becomes very important to be aware of what actually irritated the festoon issue such as drinks, food, smoking or alcohol.

Or if you just want to treat them temporarily then steroid injects and medications can also help overcome this issue.

When advanced laser eyelid technology is done, it changes the complete quality of the swollen skin and it makes more youthful and smooth.

 festoons before after image

Before-After Images After Treating Festoons

How Can You Avoid Festoons?

Well, there is not any specific trick that can help you avoid festoons. But if you have healthy lifestyle will help such as:

  • Get Enough Sleep
  • Avoid Alcohol and Tobacco
  • Exercise Regularly
  • Follow a Balanced low-Salt Diet

With the help of these, you can easily avoid festoons. These are easy to apply tricks that can help you a lot in avoiding malar festoons.

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Festoons are the common issue that seems to be quite similar to eye bag but in actual, it is different from eye bag as you can see in one of the section of this blog. In that section, the difference between the festoons and the eye bag has been clearly defined so that no one would ever get confused.

However, this eyelid issue can be treated with some surgical and non-surgical festoons treatments. As already mentioned that laser skin resurfacing would be more effective, so try it, if needed. You can try the treatments for festoons mentioned in this blog. If you want to ask any question related to this blog or issue then you ask here. Don’t hesitate to ask any question related to this and any other topic related to eyelids.

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How To Treat Festoons or Malar Mounds: Everything You Need to Know
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How To Treat Festoons or Malar Mounds: Everything You Need to Know
If you have festoons and want to get rid of it then you can try: Laser Skin Resurfacing for Festoons, Hyaluronic Acid to Treat Festoons, Thermage and more. Try all these to treat festoons and malar mounds with an ease.
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Eyelids Lift
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