Fat Under the Eyes Isn’t Always Related To Your Eyelids

*Once you hit 30 years old, the skin around your eyes becomes more wrinkled, puffy and baggy. You may find that bags develop under your eyes, and become more prominent with every passing year*

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Take a closer look at the bags under your eyes. Are they your lower eyelids or festoons?

Determining which you have makes all the difference when selecting the right treatment to achieve your aesthetic goals

Rejuvenating the under eye and upper cheek area

• Are they undereye bags or festoons?
• Eyelid surgery targets undereye bags, while festoon removal is related to a cheek lift.

Festoons VS undereye bags

Festoons: A festoon, also called a malar mound, is not located right under the eyes and isn’t associated with undereye bags. It is actually swelling on the upper cheek just below the lower eyelid, usually in the shape of a crescent. They are caused by sagging skin, damaged by excessive sun exposure, aging, smoking and other poor lifestyle habits. Festoons cannot be removed during a blepharoplasty since they aren’t related to the eyelids. As a matter of fact, they can sometimes become more prominent after a lower eyelid lift, which is why it is important that you consult with Dr. Fialkov, our craniofacial plastic surgeon, for an accurate assessment of your concern.

Undereye bags: This common aesthetic concern is caused by protrusion or herniation of fat that lies beneath the lower eyelid, something that occurs naturally with age. To make matters worse, your skin becomes less elastic as well, contributing to sagging. This is technically referred to as fatty orbital herniation. You’ve probably noticed that dark circles under your eyes have also appeared, something technically called arcus deformity. These are caused partially by a shadow created by the overhanging puffy eyelid.

Festoon removal surgery

To remove festoons, the cheeks are targeted rather than the eyelids. A cheek lift, in which the offending skin is removed, is one way to remove malar mounds. In some cases, nonsurgical treatments can also be effective, such as laser skin tightening.

Call (416) 256-5614 to determine if you have festoons and find out what you can do about them.

*Results are not guaranteed and may vary from person to person*

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