Festoon Treatment

Submited by Kassmd on March 11, 2020

Festoon Treatment

No one likes feeling older, and no one wants to appear older than they are. Though no one can stop the clock, aging does not have to leave you feeling unattractive, sickly, or depressed. One of the ways you can look and feel younger is by taking advantage of our treatment for Festoons.

What are Festoons?

Some people call them puffy eyes or severe bags, but Festoons, or Molar Mounds, are skin folds that swell and sag below the lower eyelids and upper cheek area. Often Festoons look like a drape that is hung from one corner of the eye to another, with the lowest part hanging on the cheek. Patients can have a single festoon, multiple ones, and can occur under one eye or both. These under-eye bags can result in a tired, older-looking, and even unhealthy appearance.

It is important to note that these are not bags under the eyes but are bags below the eyelids. Many of our patients ask if regular lower-eyelid surgery is an option and we strongly discourage this form of treatment. Lower-eyelid or eye bag surgery does not treat Festoons as this condition is not under the eyelid but under the eye itself. For this reason, treatment needs to go further than the eyelid. Lower-eyelid surgery often ends with the patient’s bags becoming more prominent in cases where Festoons are present.

What causes Festoons and why you should treat them?

As we age, the elasticity in our skin decreases naturally and can result in fatty pockets developing around the eyes, mouth, chin and neck area. Some people can have a genetic predisposition to Festoons, but they can be caused by other factors such as muscle laxity, smoking, or sun damage to the fragile skin under the lower eyelids and above the cheek region. Festoons can also be the result of a structural problem beneath the surface of the eyelid which is why eye creams and external treatments offer limited results if this condition is caused by soft tissue and structural problems.

The benefits of treating Festoons are the elimination of puffiness around the eyelids by correcting lower bags and circles resulting in smoother, brighter skin with a more youthful appearance.


Festoons can be a difficult condition to treat and should only be done by a qualified and licensed professional as it can easily be mismanaged with an over-correction or under-correction. After consultation and thorough examination with our staff, we will be able to understand the cause of your Festoons and determine the best treatment option for you.


There are many treatment options for Festoons depending on the severity and cause of the condition. As mentioned before, those who have conditions in very early stages may only experience limited results with topical creams. These creams are not a long-term treatment option.

Botox and steroid injections can also be used to treat festoons if the cause behind them is due to muscle laxity or excess fatty tissue.

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. A SOOF lift is a form of a facelift procedure known as a suborbicularis oculi fat lift, which is commonly used to eliminate physical signs of aging. During your SOOF lift procedure, a small incision will be made below the eyelid and extend into the cheek area to remove or reattach any fatty tissue to your facial bones.

Unlike bags under the eyes, cosmetic surgery alone will not treat Festoons completely. For this reason, we combine the SOOF Lift with skin resurfacing treatment which also reduces any unnecessary scars. Certain peels and even laser resurfacing treatments can help the skin to renew itself into a healthier, younger, and more attractive state with lasting results.

What you can expect?

Recovery can take several weeks, and patients should expect some limitations on their normal routine. You should arrange for a friend or family to bring you to and from surgery. Limited reading, TV watching, or usage of electronics may be required to reduce strain and allow your eyes to properly recover. The length of recovery will vary depending on the specifics of your procedure. Your doctor will instruct you with post-operative care and let you know when it is okay to resume daily activities.

We believe in making our clients feel respected, comfortable, and assured that we have their best interests in mind. If you would like to learn more about our treatment options for Festoons and how we can help you, please contact Kass Center For Cosmetic and Plastic Surgery today.