Laser Management of Festoons

摘要: Festoons are skin folds and ballottable edema that occur between the transition zone of thin lower eyelid above thick cheek below. They can cause a dramatic aesthetic disturbance to lid difficult address. We believe festoons caused by damage overlying area where horizontally contracting orbital orbicularis oculi muscle converges with vertically elevators upper lip. Skin/muscle flap surgical procedures correct be time intensive yield suboptimal results. Medical therapy has also typically failed provide significant resolution. Lasers used for resurfacing have been viable option treatment festoons, carbon dioxide (CO2 ) Erbium:Yag (Er:Yag) lasers having successfully. The takes advantage residual thermal energy, which normally accompanies laser tissue ablation. This heat causes relatively deep collagen fiber devitalization, most importantly contraction, becomes framework new formation. Our clinical endpoint is presence no further visible shrinkage final application. Proper use requires following safety protocols blending treated surrounding untreated skin. Frequent follow-up after procedure allows better management healing process early recognition complications. In our experience, modified predictable effective reduce greatly improve overall outcome in rejuvenation eyelid–cheek complex.