Festoons (also known as malar bags or secondary eyelid bags)
are bulges on the upper cheeks that may swell and shrink over the course of the day.
Malar festoons have a reputation of being a challenging condition to treat. They tend to reoccur after lower eyelid lift surgery. The most successful way to reduce or eliminate festoons involves a combination of procedures.
Dr. Kotlus advocates three techniques:
For more details about festoons and cheek bag treatments:
Dr. Kotlus published a review of festoons in the American Journal of Cosmetic Surgery explaining the anatomy of festoons and treatments that have been described in the medical literature. Click here to read his festoons review article.