When we see another person, our brains scan the other person’s face for nonverbal facial cues. We naturally focus on the eye and mouth region, and when we see heavy upper or lower eyelids, malar mounds or eyelid festoons, we tend to interpret what we see as meaning that the other person tired, sick or even drunk. Malar mounds and eyelid festoons have traditionally been very difficult conditions to correct, and when lower eyelid surgery is performed without correcting festoons and malar mounds, the person often looks worse afterwards. This is because we expect heavy lower lids to accompany … [Read more...] about Medical Minute: Can Malar Mounds and Eyelid Festoons Be Treated?
All too often, patients who have undergone facial filler placement or facial surgery will notice that their festoons and malar mounds have become more noticeable. Understanding why this happens requires a deeper understanding about the nature of festoons and malar mounds. A festoon is a medical condition in which the skin of the lower eyelid becomes damaged — usually by the sun. Under normal conditions, elastic and collagen fibers keep the skin taut and tight. These fibers can become damaged by Ultraviolet rays from the sun, and especially by UVA rays. Once damaged, they are no longer able … [Read more...] about Festoons After Fillers
I help patients from around the globe with my sun damage restoring facial rejuvenation techniques, and lately I’ve been seeing more and more patients from the United Kingdom. Many come to me for help with conditions known as lower eyelid Festoons and Malar Mounds. Curious as to why this is the case, I began to hypothesize why so many people from the United Kingdom might suffer from Festoons and Malar Mounds. The reason, I’ve come to discover, is rooted in understanding the causes of lower eyelid Festoons and Malar Mounds. The Role of Skin Type in Festoon and Malar Mound … [Read more...] about Festoons and Malar Mounds Treatment and the United Kingdom
Patients often ask me if there is a non-medical, “natural” remedy for malar bags and eyelid Festoons. To answer this question, we need to first understand what the underlying causes are of malar bags and eyelid Festoons. Understanding Malar Mounds/Festoons “Malar Mounds” and “Festoons” are terms used to describe skin folds, edema of the lower eyelid and swelling on the check which form as a results of sun damage and underlying forces under the skin caused by contrasting muscle action. While some people have an family genetic predisposition to Malar Mounds and eyelid Festoons, most … [Read more...] about Malar Mounds / Eyelid Festoons: Is There a “Natural” Remedy?
One of the most common causes for dark circles under the eyes is fullness due to fat changes that occur in and around the eyes as we age. The advent of facial fillers such as Juvderm®, Restylane®, Belotero®, Radiesse®, Artefill®, Fat, Silicone, and Sculptra® has proven very useful in reversing age-related changes in the face from volume loss. Many doctors also use these fillers to camouflage the appearance of dark circles under the eyes (also due to a lack of fat, which causes a sunken appearance to the under-eye area). I myself have used fillers in this region to address this specific … [Read more...] about Problems with Fillers Under the Eyes
As we age, we discover that one of the most noticeable changes to our appearance involves the eye area. Perhaps the most common complaint I receive as a specialist in cosmetic eyelid rejuvenation is that my patients have heard from others that they look sick or tired, even when they are feeling well and rested. The origin of such unwanted comments is typically the nonverbal messages the lower eyelid region sends as we age. This area can be affected by many different factors which each contribute to the appearance of dark circles under the eyes—the first is the convexity or concavity of the … [Read more...] about What Causes Dark Circles Under the Eyes?
What Is the Difference? Many people who undergo lower eyelid surgery to improve the appearance of their lower lids are dissatisfied afterwards because of one factor which can complicate the results from lower eyelid surgery. One factor which can complicate the results from lower eyelid surgery is lower eyelid/cheek festoons and malar mounds. Festoons are a medical condition in which the skin of the lower eyelid becomes significantly damaged, usually by the sun. This damaged skin can result in folds in the lower eyelids and can lead to swollen mounds on the cheeks. They often occur … [Read more...] about Lower Eyelid Bags vs. Festoons
Your grandma probably had them, and so did your parents. If you are looking in the mirror and see lax or sagging skin that spans from under the eye to the top of the cheekbone, you also probably have a condition called “festoons,” which is almost as common in older adults as the need for reading glasses. Fellow doctors call them malar mounds, and describe it as ballotable skin edema or swelling in the lower eyelids and upper cheek that broadcasts a nonverbal message of being sick or tired. This condition often looks worse after people undergo eyelid surgery to correct sagging lower lids … [Read more...] about The Secret Role Festoons Play in Eyelid Rejuvenation