We hope the information will be useful for you to become more educated about your health care decisions. However, some patients may see their festoons return over time. Our doctors will recommend the appropriate number of treatments based on your skin condition. Tear Trough rejuvenation with Dermal Filler, Radio Frequency Skin Tightening (AccuTite, BodyTite, Facetite), Radio-frequency (RF) skin tightening - Forma, Festoons also called Malar Bags or Under Eye Bags, Morpheus8 - Radio frequency (RF) needling, Hair regrowth with Platelet Rich Plasma (PRP), Heredity There are inherited anatomical structural problems here that run in families, Sun exposure chronic skin damage with thinning, loss of elasticity and support by the skin, Aging loss of underlying structural support allowing skin sag as well as fat and fluid buildup, Lifestyle factors in particular smoking which weakens skin support, circulation and lymphatic drainage. Did microneedling help you? Aesthet Surg J. The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according to a study. , Instruction for Registration and Activation. Roy G. Geronemus, M.D.Laser & Skin Surgery Center of New YorkRonald O. Perelman Department of DermatologyNew York University School of MedicineNew York, N.Y. Viewpoints, pertaining to issues of general interest, are welcome, even if they are not related to items previously published. This was my 3rd in a series, which is standard, but it was only just prior to the 3rd one that I came across a yet-to-be published study on pubmed, that was looking at this very thing, ie Morpheus8 treating festoons. Then apply a third layer of serum for added hydration and comfort. Men and women who struggle with bags on bags in the lower lids may be good candidates for under eye bags surgery. Apart from improving the festoon area it also tightens and smooths the under-eye skin. I had Mohs surgery a few weeks ago, I healed quickly and my nose looks amazing, 46 stitches inside and out and very little scaring. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. No one can escape the aging process, but that doesnt mean you cant turn back the clock on some of its visible effects. Most patients resume their normal activities the same day or the following day. 1, Ste. Hello hellodolly46,Thanks for your question.Microneedling can help tighten a little bit of the loose skin associated with malar mounds but they will not be removed.The treatments that seem to work are as follows:1. Patients with festoons often come to us saying they have severe under eye bags. Some benefit can be accomplished with filler injection with Restylane Lyft or Voluma under the malar bag to camouflage the Festoon MeSH When done in-office, treatments are spaced a few weeks to a month apart. You may notice improvement after one treatment, but the best results come with 2-3 treatments. Micro-punctures are created using single-use microneedles which produce a controlled skin injury without actually damaging the epidermis. Clin Plast Surg. He listens not only to what you have to say but who you are and makes suggestions based upon Who You Are. Microneedling with radiofrequency (a.k.a. Dr. Wulc will examine the work done and decide if a lower lid filler removal is necessary. You can not fully sterilize the needles at home. Festoons are complicated issues. INTRAcel RF MicroNeedling for skin repair. Once full results are achieved, they are long-lasting for most patients. Truly an amazing experience. If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact us at (212) 941-5055. Before You should come prepared with a list of medications and we encourage you to write down your questions before our meeting. Healthy adults with realistic expectations are the best candidates for festoons surgery. Oops! By Janeca Racho, Accessibility 1) over the course of 3 months and patient 2 has received five treatments over the course of 1 year. Many patients that we see have had several failed treatments before coming in for more definitive therapy. It can also be beneficial for acne scars, she adds. Oct 14, 2019 | Lasers & IPL, MicroNeedling | 0 |. Small bends can be imperceptible to the naked eye and can cause unwanted damage to your skin. The .gov means its official. Would you like email updates of new search results? Keywords: This method of treatment is incredibly flexible with the ability to deliver RF energy to targetable skin depths from superficial to the deepest layer. The needles can become bent over time, or come from the manufacturer already bent. Only this way can we achieve long term improvement.. 1. Direct excision of the malar festoon leaves a conspicuous scar at the orbital margin. With ultra-tiny needles, the derma-roller glides over the complexion, creating micro punctures in the skin that signal the dermis to produce collagen and elastin. Ophthal Plast Reconstr Surg. to maintaining your privacy and will not share your personal information without Will really appreciate. Etiology and Treatment of Congenital Festoons. Get in touch with us for your free, no-obligation consultation. They are puffs of fullness that occur in the middle of the cheek, like a puddle, where the eye-closing muscle meets the smiling muscle. may email you for journal alerts and information, but is committed Fillers in this area help as well ifplaced appropriately. Fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel is a safe and effective treatment option for malar bags. The https:// ensures that you are connecting to the Begin with a cleanser and end with a gentle exfoliator or peel. list of sundown towns in new england; jeff mudgett wikipedia. As you age, your body produces less collagen, creating saggy and wrinkly looking skin. Festoons are complicated issues. Festoon severity improved in all patients. David H. Song, M.D., M.B.A., 444 E. Algonquin Rd. Wrinkles are a common and unwanted sign of aging. Viewpoints should be submitted electronically via PRS enkwell, at www.editorialmanager.com/prs/. This is basically what mine look like. The patient provided written consent for the use of her images. city of san luis obispo planning department; which came first tennis or badminton; fastest 13 year old 40 yard dash; brick hockey tournament tryouts I may have used it incorrectly. Patient 1 has received two treatments (Fig. Bethesda, MD 20894, Web Policies Design & Development by Goldman Marketing Group | Sitemap | Privacy Policy | The information available on this web site is provided for informational purposes only. Hana Jeon, M.D.Laser & Skin Surgery Center of New York. *Photos have not been retouched or edited. Aesthet Surg J. Ophthalmology by the American Board of Ophthalmology, Plastic Surgery by the American Board of Physician Specialties, Facial Cosmetic Surgery by the American Board of Cosmetic Surgery, A Diplomate of the American Society of Ophthalmic Plastic and Reconstructive. Vertical subperiosteal mid-face-lift for treatment of malar festoons. Once bags on bags have formed, cosmetic surgery or other aesthetic treatments may be the only remaining means of effectively controlling the festoons. They are extremely difficult to treat and often misdiagnosed. To get started, youll first need to prep your skin. Your skin becomes smoother, firmer, and more youthful as it undergoes cell turnover and collagen production increases. PS - There are other RF microneedling machines besides Morpheus8 and the depths needed would not be the same for each. SAN FRANCISCO The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according to a study. Your message has been successfully sent to your colleague. He offers patients in Philadelphiaand nationally effective and innovative treatments. Microneedling RF treatment does create controlled injuries in the skin, but it does not leave your face resembling an aerated front lawn. SAN FRANCISCO — The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions,. Hi, I was wondering what the consensus is for microneedling on festoons is which are like under eye bags but more so under your cheekbones, I know festoons are caused by trapped fluid which can lead to scaring overtime and the discolorment it causes and swelling is rather irritating since I'm only 21. Kikkawa DO, Lemke BN, Dortzbach RK. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Huang J, Yu W, Zhang Z, Chen X, Biskup EClinical and histological studies of suborbital wrinkles treated with fractional bipolar radiofrequency. I saw several well-respected cosmetic dermatologists, none of whom knew what to do. We cannot search for an empty value, please enter a search term. Newberry CI, Mccrary H, Thomas JR, Cerrati EW. Viewpoints may present unique techniques, brief technology updates, technical notes, and so on. There are currently no items in your cart. Hello I'm dr. Greg Chernoff and I'm going to show you a procedure today that's I've been working on for the past 10 to 15 years and that's in perfecting the softening of malar festoons. The effect, however, is that your skin may look flushed, but this passes soon. Please contact the moderators of this subreddit if you have any questions or concerns. microneedling for festoons. The information on RealSelf is intended for educational purposes only. Festoon severity improved in all patients. Hope youre able to get some results whichever route you go, Hey, I have had something like this on my cheek for 10 days or so since my microneedling session. Answer: Can a series of Microneedling treatment help remove malar mounds? 1993;20(2):367-385. Our clinics are closed during the lockdown, but we're available for consults and our online store is open. Patients may experience scarring, infection, anesthesia complications, or a poor cosmetic outcome. Einan-Lifshitz A, Hartstein METreatment of festoons by direct excision. Our next Injectable Thursday Special Event is March 9th Save on Botox, Dysport and Jeuveau! Please see someone with experience in treating this area. Implementation of technology in aesthetic medicine and surgery resulted in novel treatments for this entity. Your submission has been received! Viewpoints will be published on a space-available basis because they are typically less timesensitive than Letters and other types of articles. This includes rolling 200 microneedles over our face to improve collagen production, promote skin regeneration and more. Note: though I noticed that my skin felt a little sensitive afterward, I didnt experience any pain throughout this experience. From 2015 to 2019, 29 patients underwent four combined radiofrequency and microneedling treatments at intervals of 4 weeks. Your stitches will be removed 4 days after your procedure. Her background in fashion has taught her that beautiful skin never goes out of style. lake tobias donation request; who is running for governor of illinois in 2022; investec interview questions; low risk sic codes for businesses; customer experience puns; how old is andy kelly bering sea gold; I highly recommend Dr. Bae. Sub-dermis regeneration Radiofrequency (RF) microneedling (Morpheus8) is proving to be the most reliable and safest option to achieve subdermal as well as dermal regeneration. Local blocks are also administered for more aggressive treatment. Next, glide the derma-roller across each area of your face vertically, horizontally and diagonally, repeating each direction twice. Submission of a Viewpoint constitutes permission for the American Society of Plastic Surgeons and its licensees and assignees to publish it in the Journal and in any other form or medium. He has also been featured in publications where he discusses this treatment option, including The Aesthetic Guide. Microneedling is a cosmetic procedure that uses small, sterilized needles to prick the skin. This is something you can discuss with the doctor prior to treatment. After 6 weeks, excellent results can be observed with malar mound and festoon completely resolved. For this at-home experiment, we chose the ORA Microneedle Face Roller System, which has a needle depth of 0.25 mm. 2020 Feb 17;40(3):246-258. doi: 10.1093/asj/sjz137. They are the bags that fall on the cheeks, below the lower eyelids, that make you look like you haven't slept for weeks. The most effective treatment for eliminating these spots and other skin pigmentation is laser therapy, which usually includes little to no downtime after treatment. No complications were reported, and no patient requested further treatment, Ramesh said. Gentler techniques allow sensitive areas like the eyes to be treated. Privacy Policy (Updated December 15, 2022), by the American Society of Plastic Surgeons, Textmaximum of 500 words (not including references), Figures/Tablesno more than two figures and/or one table. 2014;34:235248. Hi everyone! By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. In bi-polar mode, the treatment reduces deeper wrinkles, scars, and stretch marks and tightens skin. He is a consultant with BioMet, Emmi Solutions, LLC, a consortium-member providing senior debt for Brava, and consultant with and investor in HealthEngine.com. Ramesh S, et al. By Mellanie Perez, Successful non-invasive treatment of festoons. Plast Reconstr Surg. The procedure is suitable for both men and women and is safe for almost any skin tone. Malar oedema/mounds/festoons often remain unaddressed. 2. Recently, these injections have become popular and work well, especially if used more than once. Most concerns have more than one course of treatment. It also tightens the subdermal layers. Most patients only need to take 7 days off work. Deeper treatment, hyaluronic acid fillers, or surgery are generally needed. Tretinoin (retinoic acid) creams for cell health. There is no simple fix for this problem. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Priced at $26, this at-home treatment is a much more affordable alternative compared to an in-office visit. This is new technology and is not the same as the common radiofrequency microneedling as the depths and energy levels required to achie correction of this condition are unique to this technology. Puffiness and bags along the cheek line can significantly impact your appearance, making you look older and more weary than you feel. Would highly recommend! Happy to give u my email or if we can chat here on private . Festoons, mounds, and bags of the eyelids and cheek. This field is for validation purposes and should be left unchanged. Eye doctor havent heard of it and I basically diagnosed myself. Laser & Skin Surgery Centers director, Dr. Roy Geronemus, co-authored a paper, published in June 2018 in Plastic and Reconstructive Surgery, describing the use of RF microneedling to treat festoons. Nonsurgical options for treating festoons include fillers, laser and trichloroacetic peels, radiofrequency thermoplasty and microneedling, and sclerosing therapies such as deoxycholic acid, tetracycline, and doxycycline injections. Dr. Wulc and our nurses meet with every patient in a one-on-one consultation at his Philadelphia area practice before creating any surgical plan. He offers patients in Philadelphia and nationally effective and innovative treatments. HIPAA Policy | Privacy Policy | Terms of Use, 610 W. Germantown Pike, Suite 161, Plymouth Meeting, PA 19462. Combination radiofrequency-microneedling for festoons. Our doctors are very concerned about your comfort. Please try after some time. We are hiring for nurses and MAs for our Southhampton office. Treatment should be directed at regenerating both the dermis (skin layer) and the sub-dermis structures in order to regain long term elasticity and support. As evident in Figure 1, the treatment also resulted in an overall rejuvenation of the lower lid complex. Start by applying two layers of the serum to your complexion. Clipboard, Search History, and several other advanced features are temporarily unavailable. A classic procedure for removing fat through small incisions, liposuction techniques have advanced a great deal in the last few decades. Some options include: In our hands, a combination of lower blepharoplasty, microdroplet liposculpture, and dual erbium laser resurfacing has been successful in treating many of our patients and providing lasting results. Swelling and bruising you may have will be virtually gone by day 10. 2014 Feb;34(2):235-48. doi: 10.1177/1090820X13517897. Dr. Allan Wulc, a board-certified plastic surgeon at W Cosmetic Surgery, is a pioneer in the treatment of festoons. Please note the following criteria: Authors will be listed in the order in which they appear in the submission. Presented at: American Society of Ophthalmic Plastic and Reconstructive Surgery meeting; Oct. 10-11, 2019; San Francisco. Epub 2014 Jan 15. Medical Suite, Ground Floor, Phar-Lap Gardens34 52 Alison Road. If I decided to continue with this treatment, I imagine Ill have to carefully go over my under-eyes every time. They remain a difficult entity to treat. is the President of the American Society of Plastic Surgeons (ASPS). 2018 Mar 22. Among many changes that occur with aging, festoons present a unique challenge to the treating physician. During the procedure, a narrow stream of radiofrequency energy is delivered to the lower dermal layers via tiny needles. The malar septum: the anatomic basis of malar mounds and malar edema. INTRAcel microneedling administers radio-frequency (RF) energy via needles the diameter of a hair. Eye bags form directly under the eye and are usually caused by a combination of skin laxity and small fat pockets. If youre bothered by festoons, you dont have to live with them. Like an artist she placed the filler in various areas with a beautiful natural outcome. See something that breaks our rules? In addition to cleaning and storing your derma-roller, you may want to keep track of how often you use it, as its best to replace the device after every 10-15 uses. Topical anesthesia is administered before the procedure to reduce discomfort, Downtime is minimal and results are long-lasting, Side effects are relatively mild and may include redness and swelling for 1-2 days, Improvement is visible a few days after the procedure and continues to develop for up to 6 months following treatment, Some patients may require a series of treatments for the best outcome, or touch-up treatments if the festoons recur. Imbalance thyroid levels or a history of autoimmune thyroid disease (Hashimotos thyroiditis) can cause festoons. This never works and usually makes the situation worseand the patient more desperate to find a solutionor makes the patient despair about ever finding one. Facial Plast Surg Clin North Am. Mild festoons can often be treated with a combination of fillers to address volume loss as well as CO2 laser resurfacing and radiofrequency microneedling to address tissue laxity. A: Although you cant do much to affect aging, gravity, or genetics, you can help prevent festoons by maintaining a healthy lifestyleeating a balanced diet, exercising regularly, and avoiding alcohol and smoking. Are u in the uk by any chance??? INTRAcel microneedling administers radio-frequency (RF) energy via needles the diameter of a hair. Malar bags or festoons are not a result of aging. We came from Long Island just to go to Dr. G as he came highly recommended from our plastic surgeon. Collagen, the essential protein in our skin, begins to decline as early as our 20s, leaving skin without support from within. Festoons are composed of lax skin and orbicularis muscle that hang between the medial and lateral canthi, and the pathophysiology is likely multifactorial; some of the proposed mechanisms suggest stretching of the orbitomalar ligament and lymphatic imbalance.1 Many different surgical approachesincluding microsuction, flaps, midface lift, and excisionshave been tried with variable success rates. Often other signs like loss of the outer part of the eyebrow may be present. The device (Infini; Lutronic, Inc., Goyang-si, Republic of Korea) consisted of 49 insulated microneedles (7 7 needles, 10 10 mm), whose tips delivered bipolar radiofrequency transmissions. They tolerated the procedure well. Once youre finished microneedling, be sure to apply some rubbing alcohol over the roller to clean the device. Malar festoons are a very common feature exhibited by many patients and it's really the natural anatomic junction of where [] We hope the information will be useful for you to become more educated about your health care decisions. Abraham, Bernstein, Krant, Shelton, Stern, Weiss, Hoffman, Shim, Murphy-Rose, Wilson, and Petratos. After the Third Treatment: By now my complexion held onto its softness and I did start to notice a longer-lasting change in clarity and glow factor. Festoons can be seen at a very young age in those who inherit them from one side of the family. We Asked the Experts. Once your skin is prepped, its time to apply a hyaluronic acid (HA)-based serum. Please enable it to take advantage of the complete set of features! She is a graduate of Academy of Art University with a Bachelors Degree in Fashion Journalism. We have extensive experience and a variety of techniques to take care of this problem! Treated or untreated, this inflammatory skin condition can cause congestion of the veins and lymphatics that drain the eye and cause intermittent swelling and festoons. Disclaimer: Results may vary from patient to patient. Similarly, radiofrequency microneedling without association with other techniques would not be the best choice for the treatment of festoons, because despite causing a potential reduction of fat and decreased sagging skin in the lower eyelid, it is not enough to bring the best outcome to the patient 10. Designed by Elegant Themes | Powered by WordPress, Baby Boy Born with No Ears Cant Have a Life-Changing Operation That Would Allow Him to Hear Because Medicare Considers it Cosmetic Surgery, Fibrin Glue Significantly Reduces Bruising, Bleeding in Upper Eyelid Blepharoplasty. Is there anyway to treat these marks? Results: Microneedling, aka derma-rolling. See an experienced plastic surgeon in your area for an evaluation of what would be best for you. Dermis regeneration Sun protection to minimise further damage. An official website of the United States government. In Jessies free time, you can find her creating content for her beauty blog, Hair Skin Kale, testing out DIY beauty recipes, exploring her neighborhood, or binge-watching episodes of Friends. PMC Federal government websites often end in .gov or .mil. This site needs JavaScript to work properly. These complication can be reduced by working with a board-certified surgeon who uses proper techniques such as Dr.Wulc. By Jessie Quinn, We strongly encourage authors to submit figures in color. Avoid skincare products with any reactive ingredients like retinol or vitamin C if you have particularly sensitive skin; the combination of the needles and these ingredients may be too harsh.We love Tatcha's The Dewy Serum ($88). Usually, one or two treatments may be required for long lasting results however, because this treatment is non-invasive, carried out under local anaesthetic, is well tolerated and has little downtime it can be readily repeated whenever required for maintenance! During the second treatment, I paid close attention to the more sensitive areas, such as my under-eyes and lips. No complications were observed. A: Fortunately, treatments are available to significantly reduce the appearance of festoons so they dont have to be a permanent fixture on your face. Ophthalmic Plast Reconstr Surg. Fortunately, our treatment is applicable to most patients with this condition. We tried the celebrity-approved treatment for six weeks and share our experience up ahead. Generation one devices such as Dermapen/ Skin Pen etc. Microneedling treatments involve a device that looks like a pen. Surgery can cost all different from street to street, even blocks to blocks in the same city, depending on the surgeon's reputation, skill and experiences. These micro-injuries lead to minimal superficial bleeding and set up a wound healing cascade with release of various growth factors. The severity of lower eyelid festoons can be lessened with combined radiofrequency and microneedling, with a greater aesthetic impact noted in higher-grade conditions, according to a study. 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. Recruiting Clinical Trial Participants Requires a Multi New Microneedle Can Obliterate Spider Veins in One Sess American Board of Cosmetic Surgery Raises the Bar for P Cellulite Meets Its Match with InMode Aesthetic Solutions BodyFX, Loose RNA Molecules Rejuvenate Skin, According to Study, Scientists "Weld" Skin Using Laser Energy, RT: For Decision Makers in Respiratory Care. Patients seek all sorts of treatments in med spas and from plastic surgeons in an effort to rid them of festoons, yet very few surgeons can effectively eliminate them. Festoons, also called malar mounds or cheek bags, are redundant folds of loose skin, muscle, fat, and/or fluid that appear at the lower eyelid-cheek interface. If you see that I am replying to something out of context (eg. You may be trying to access this site from a secured browser on the server. By LASER & SKIN SURGERY CENTER OF NEW YORK | 2023 All Rights Reserved. 2014;34(2):235-248. These fillers remain in place for years and gum up lymphatic flow, and they may migrate making festoons apparent. Early this spring, I developed a skin problem that left my face a mess. This is usually a single treatment. When it comes to skin care, were willing to try just about anything in the name of younger-looking skin. Following the final treatment, my skin felt so soft and smooth. Could I have a chat with you about it please as it seems like u know a lot. Patients/methods: Plastic and Reconstructive Surgery141(6):977e-978e, June 2018. use needles without heat to remodel collagen. Disclaimer. Sorry mr. bot but that was not helpful I'm well aware of the precautions needed for microneedling wait why am I talking to a robot, @chemecalia sorry to be a pain but I have a mala bag directly in my tear duck which only showed up a month ago. Conclusion: Fractional microneedle bipolar radiofrequency with medium depth 15%TCA peel is a safe and effective treatment option for malar bags. Festoons have been much more challenging to treat, as surgery and ablative lasers were more invasive and not always effective. Festoons, also known as malar bags, develop beneath the eye bags and affect the area above the cheekbone. It can be used to treat the festoon/under-eye area alone or the full face to capitalise on the skin regenerative benefits. Here's a somewhat helpful article (somewhat, b/c it doesn't say what machine was used, but helpful as it gives hope): https://www.healio.com/news/ophthalmology/20191011/festoon-severity-diminished-with-combined-radiofrequency-microneedling, Good info, thanks. Retin-a helps a little in my experience to reduce the chances of the festoons leading to scaring as I noticed that element worsened when I discontinued use. Endara M, Oh C, Davison SP, Baker SBThe management of festoons. This information is not intended to replace a medical consultation where a physician's judgment may advise you about specific disorders, conditions and or treatment options. Kpodzo DS, Nahai F, McCord CD. The ideal treatment for festoons would possess minimal invasiveness and recovery time, and predictably improve the condition. Needles are used to create small punctures on the top layer of the skin which [signal] the body to create new collagen and elastin, she adds. 4. No complications were observed. {Dr. Bernstein is an} Amazing physician! HHS Vulnerability Disclosure, Help This will significantly speed up the recovery time. A full-face laser resurfacing is recommended and is a single procedure carried out using an Erbium-YAG laser under twilight-type sedation and anaesthesia. The Morpheus8 needles penetrate deeply into the pouches and discharge the high levels of RF energy required to contract, tighten and sometimes obliterate these fluid and fat filled pouches and to tighten and flatten the subdermal structures. These procedures are often complex, however, and can result in significant complications such as skin perforation, wound dehiscence, chemosis, and ectropion. Severe festoons become moderate and moderate festoons become mild, Sathyadeepak Ramesh, MD, said at the American Society of Ophthalmic Plastic and Reconstructive Surgery meeting. Not to mention: using the Face Roller System can also help fade scars, increase absorption of skin care products, blur the look of stretch marks and even be used on the scalp to prevent hair loss. Geronemus, Anolik, Bae & Seidenberg, Pay Online for Patients of Drs. Anatomy of the periorbital region is very complex. Bipolar radiofrequency microneedle devices have been reported to improve periorbital wrinkles by increasing collagen and elastic fibers in the areas of treatment.

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