Malar Festoons: Anatomy and Treatment Strategies

Introduction: To describe the anatomic basis for malar festoons and mounds and to review the available options for surgical correction. Materials and Methods: A review of relevant literature was performed to identify previously documented corrective measures for malar festoons and mounds. Results: A wide variety of methods exist for reducing malar festoons. Discussion: Each procedure for minimizing festoons has a rationale that addresses one or more anatomic features, but none represents a method that results in universal correction. A multimodality approach may be favorable based on specifi c patient fi ndings.