Most light-to-medium skin-toned adults are eligible for the RESET Procedures. Unfortunately, deep laser skin resurfacing is not available for patients with dark skin tones at this time, though they may be candidates for Halo and other treatments.

To better understand how skin type impacts treatment options, we encourage you to explore the Fitzpatrick Skin Type Scale.

This resource explains how different skin types respond to various treatments and highlights the importance of a personalized consultation. 

Patients whose medical conditions make anesthesia a health risk may also be excluded from the surgery. If you have previously had cosmetic surgery, Dr. Scheiner will evaluate you to determine whether the RESET Procedures are a good fit for you.

Festoons are also referred to as malar mounds. They are a medical condition in which the skin of the lower eyelids and cheek regions becomes swollen.

Though elastic and collagen fibers usually keep the skin smooth and tight, sun exposure can damage them, leaving them unable to perform this function.  Fluid can seep into the space this creates between the layers of damaged skin, causing swelling. Festoons typically occur with age and are more common in people with lighter skin types.

The causes vary, but in most cases, they are associated with genetics, sun damage, lifestyle factors, or the natural aging process.

The difference between the two can be confusing, but it’s largely determined by where they are located, how they feel, and how they form. One key difference is that festoons are fluid-filled pouches, while eye bags are made of fat and drooping skin. It’s also important to remember that rather than having one or the other, you may have both.

• When touched, Festoons are squishy and can move from side to side, while lower eye bags can’t be moved. Lower eye bags feel firmer and are located deeper beneath the skin.
• Festoons are caused by sun exposure and contrasting muscle actions under the skin, while lower lid bags are caused by age-related fat protruding through the skin of the lower eyelid.
• Festoons are present on the cheek, with some presence in the lower eyelid. Lower eyelid bags only involve the lower eyelid region.

The best way to determine whether you have Festoons or lower eyelid bags is for Dr Scheiner to make an assessment. Contact our Patient Care Consultants to schedule a complimentary assessment. 

Festoons are among cosmetic medicine’s most challenging problems, and there is no in-office procedure that can correct them. Unfortunately, some physicians are including misinformation on their websites and promotional material suggesting that there is. The only effective treatment for festoons is the revolutionary laser skin resurfacing surgical procedure perfected by Dr. Scheiner.  

The simple answer is that RESET is a deep skin resurfacing procedure that uses a laser to remove Festoons, while lower eyelid blepharoplasty removes excess fat and skin of the lower eyelid. But there’s a bigger difference than that when the procedure is done by Dr. Scheiner.

People with lower eye bags often have Festoons too, but Festoons are much more difficult to treat and most doctors will not treat them at all. Blepharoplasty done using scalpels may improve the eye bags, but the Festoons can end up looking worse and more pronounced afterwards. 

Dr. Scheiner performs all his procedures using lasers. When combining his lower lid laser surgery with his RESET for Festoons resurfacing procedure, you get natural, balanced results that are subtle yet powerful.

Some cosmetic surgeons place fillers directly into the lower eyelid region or Festoon. Dr. Scheiner has written extensively about this, noting that fillers should never be used to treat Festoons, and should only be used in young patients with true hollowing in the inner lower lid.

There is no “natural” solution for Festoons, but you can help prevent them from getting worse by using sunscreen. The best way to improve Malar Mounds and eyelid Festoons is to rejuvenate the skin layers in this region. Dr. Scheiner’s RESET for Festoons laser procedure renews the skin to a healthier, younger, more attractive state.

Dr. Scheiner calls every patient the day of their surgery and sees most patients the next day, depending on the procedure.  Additional questions may be asked during post-op appointments or by emailing the medical technician team.

Dr. Scheiner recommends patients begin stem cell activation patches one month before surgery, and continue using them for six months afterward.  Use of these patches provides quicker healing times and reduced redness.  You will receive an email with instructions on how to order the patches, or you can purchase them through our office.

Oculoplastic Surgeons have a high level understanding of the structure of the eye, eyelids and facial region around the eyes in preparation for surgery in this very delicate area.They go through special training to provide the precise and careful touch required for performing eyelid and facial plastic surgery. Dr. Scheiner believes plastic surgeons do a fine job on other areas of the face, but that oculoplastic training is best for eyelid surgery.