Treatment of malar mound and festoon with fractional microneedle bipolar radiofrequency combined with 15% TCA peel.

Background: Anatomy of the periorbital region is very complex. Malar oedema/mounds/festoons often remain unaddressed. There are various treatments proposed for this pathologic entity as well as non-standardized nomenclature. Implementation of technology in aesthetic medicine and surgery resulted in novel treatments for this entity.

Aims: The aim of this case presentation was to show the combination of fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel as a great tool in treating malar bags with no complication and excellent result.

Patients/methods: We report a case of 44-year-old women with malar mound and festoon. The treatment consisted of rejuvenation of whole periorbital region- upper and lower blepharoplasty and novel treatment combination-fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel in 2 sittings.

Results: After 6 weeks, excellent results can be observed with malar mound and festoon completely resolved. No complications were observed.

Conclusion: Fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel is a safe and effective treatment option for malar bags.