Purpose: To describe a technique for treatment of malar festoons with partial subperiosteal midface lift, lower eyelid tarsal strips, and orbicularis muscle-skin flaps.
Methods: Retrospective case report.
Results: A 55-year-old Caucasian man developed extensive festoons on both cheeks shortly after deep brain stimulator surgery. The described surgical technique resulted in significant reduction in his festoons. This approach avoided direct excision of the festoon and made use of a more easily hidden incision.
Conclusions: Festoons of the midface have been described in the literature, but little data exist regarding the ideal treatment for this difficult to manage problem. We report successful treatment of festoons with a modified subperiosteal midface lift.
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