The Management of Festoons

摘要

The orbicularis retaining ligament is the structure responsible for defining the palpe-bromalar groove and is a key structure in the appearance of aging of the midface. A major anatomic basis for the appearance of festoons seems to be the downward descent of tissues superior to a lax orbicularis retaining ligament and orbicularis muscle against the resistance of the stronger lower border. The focus of treating festoons involves addressing the laxity of the orbicularis retaining ligament along with redistribution of muscle, skin, and fat within the lid-cheek junction. Surgical approaches involve direct excision of the affected tissue or indirect redraping of the affected soft tissue.