It is my opinion that attempting to camouflage lower eyelid bags with fillers is a mistake, and often causes irregular results. This is particularly true when surgery is only performed to remove fat from the lower eyelid. This is why festoons and malar mounds appear worse in the morning.įestoons and malar mounds can also get worse after any facial surgery, including eyelid surgery. But as we sleep we lay flat, and the body fluid in the leg region gets redistributed across the whole body, including the eyelids and cheeks. When we are awake and walking around, gravity takes our body fluids slightly lower, carrying it into our body and legs. We can be very well rested but our eyelids convey a different message to the world because body fluids have shifted into the lower lid bags.
Many people find their lower lids and festoons become more noticeable when they get up in the morning, and assume that the bags under their eyes and on their cheeks mean that they didn’t sleep, but this is not the case.
#Before and after under eye filler skin#
Festoons are more likely in people with lighter skin types, and often occur with age. Body fluid can seep into this space, leading to swelling of the skin, and this leads to swollen mounds on the cheeks. Once damaged, they are no longer able to keep the skin tight and taut, and this creates a potential space in the layers of the skin. These fibers can become damaged by Ultraviolet rays from the sun, and especially by UVA rays.
Under normal conditions, elastic and collagen fibers keep the skin taut and tight. Understanding why this happens requires a deeper understanding about the nature of festoons and malar mounds.Ī festoon is a medical condition in which the skin of the lower eyelid becomes damaged - usually by the sun. 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.
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