Quick Overview

• 治療内容：頬骨の腫れ（頬袋）、頬骨の上の膨らみ、下まぶたの皮膚のしわ、涙溝、フィラー注入や手術後の腫れ
• Approach: Cause-based mix of surgical (skin–muscle redraping, malar septum release, SOOF/midface support, direct festoon excision) and non-surgical (hyaluronidase for old filler, RF microneedling/fractional laser, PRP/skin boosters)
• 麻酔：局所麻酔（鎮静剤併用）（ケースバイケース）
• Time: ~60–150 minutes (scope dependent)
• Downtime: Social downtime ~10–14 days (non-surgical 0–3 days)
• 目標: まぶたから頬にかけての移行をスムーズにし、自然で持続的な改善を実現（凹みなし）

Why Choose Sinsa L

• Periorbital specialists: We treat eyelids, canthi, and midface as one unit—key for festoons, which live on the cheek (not just the eyelid).
• 原因を第一に考えた計画: 施術方法を選択する前に、皮膚のたるみ、眼輪筋のたるみ、頬骨中隔のゆるみ、リンパのうっ滞、日焼けによるダメージ、以前のフィラーの使用状況などを特定します。
• Natural outcomes: Preference for fat preservation/repositioning and proper support over aggressive removal that can look hollow or tight.
• 国際対応: わかりやすい英語による相談、写真によるレビュー、透明性のある見積もり、旅行を考慮したスケジュール設定。新沙駅 (3 番出口) 近く。

What Are Festoons (Malar Bags)?

Festoons are puffy folds or “balloons” that sit on the cheekbone beneath the lower eyelid. They’re different from eye bags (which are lower-lid fat) and often involve skin–muscle laxity and fluid/lymph accumulation. Sun exposure, aging, genetics, and prior procedures (including filler) can contribute.

良い候補者は誰ですか?

• Persistent “ballooning” or water-bag look over the cheekbone that doesn’t improve with sleep
• しわのある皮膚と、まぶたと頬の段差や溝が目に見える
• Past tear-trough filler with chronic swelling (suspect retained HA)
• Willing to follow aftercare and allow ~1–2 weeks of social downtime for surgery

Treatment Options (Customized Mix)

Non-Surgical (Adjuncts & Prep)

• Hyaluronidase for old/retained tear-trough filler that worsens malar edema
• RF microneedling / Fractional laser to firm crepey skin (settings tailored to skin type)
• PRP / Skin boosters for dermal quality
• Lifestyle guidance: salt/alcohol moderation, allergy care, sun protection (supportive, not curative)

Surgical (Definitive for Structural Festoons)

• 毛様体下皮膚筋の再被覆 まつ毛の下の微細な切開、瘢痕帯の解放、眼輪筋の引き締め/再形成、体液の滞留を減らすために頬骨隔膜の解放と組み合わせられることが多い。
• SOOF/Midface Support (Lift/Suspension)
  Elevates the sub-orbicularis oculi fat and midface to smooth the lid–cheek junction and support the festoon region.
• Fat Repositioning (if eye bags co-exist)
  Moves protruding lower-lid fat to fill grooves while preserving volume—prevents a scooped look.
• Lid Support (Canthopexy / Lateral Tarsal Strip)
  Adds corner support to maintain shape and avoid rounding or retraction after tightening.
• 直接フェストゥーン切除（選択された症例）頬骨隆起の自然な線に沿って余分なフェストゥーン皮膚を正確に除去します。慎重な瘢痕計画により重度のフェストゥーンに効果的です。

Your plan may combine several steps for the best contour and durability.

Your Treatment Journey

1. Consultation & Imaging – Assess skin quality, muscle tone, malar septum, midface, lid laxity (snap-back), prior fillers/surgeries; photos for planning.
2. 計画と見積もり – 非外科的準備（例：ヒアルロニダーゼ）と外科的修正、脂肪の再配置とまぶたのサポートを追加するかどうか。
3. Procedure Day – Precise release, redraping, support, and (when indicated) direct festoon excision; same-day discharge in most cases.
4. Aftercare & Checks – Cooling, head elevation; stitches out ~5–7 days; structured follow-ups for swelling, scar care, and symmetry.

Recovery Timeline (Typical)

• Days 1–3: Peak swelling; tightness/heaviness; cool compresses as advised
• Days 4–7: Stitches out (if applicable); light makeup after clearance
• 2週目: あざが改善し、社交的にも快適になる
• Weeks 3–8: Contour refines; skin texture continues to improve (with energy-based adjuncts)
• Months 3–6: Final definition; scars mature and blend

アフターケアのヒント

• Sleep with head elevated 1–2 weeks
• Avoid heavy exercise, saunas, alcohol for ~2 weeks
• Follow ointment/silicone/UV protection exactly as directed
• Gentle lymphatic care (no hard massage) if advised
• Report increasing redness, pain, or sudden asymmetry promptly

リスクと考慮事項

Swelling/bruising, dryness, temporary numbness/tightness, visible scarring (especially with direct excision—we plan to hide it), asymmetry, contour irregularity, prolonged edema/seroma, pigment change after lasers/peels (risk tailored by skin type), lower-lid malposition if support is insufficient (mitigated with canthopexy/tarsal strip), and possible staged refinement.

Pricing (Guide)

• Subciliary Skin–Muscle Redraping ± Malar Septum Release: ₩2.8M–₩5.5M
• SOOF/Midface Support (add-on): ₩1.5M–₩3.0M
• Direct Festoon Excision (selected): ₩2.5M–₩4.5M
• Fat Repositioning with Lower Bleph: ₩1.8M–₩4.8M (approach-dependent)
• Canthopexy / Lateral Tarsal Strip (add-on): ₩0.8M–₩2.0M
• Hyaluronidase (per session): ₩150K–₩300K
• RFマイクロニードリング/フラクショナルレーザー（1セッションあたり）：₩300K～₩800K 最終見積りは、解剖学的構造と範囲によって異なり、対面評価後に提供されます。

Frequently Asked Questions

Are festoons the same as eye bags?
No. Eye bags are lower-lid fat bulges; festoons sit on the cheekbone (malar area) and often involve skin–muscle laxity and fluid.

フィラーはフェストゥーンに効果がありますか？通常は効果がありません。むしろ腫れを悪化させる可能性があります。フェストゥーンを最終的に修復する前に、まず涙溝にある古いHAを溶解する場合があります。

傷跡は残りますか？まつ毛下切開はまつ毛の下に隠れます。直接切除すると頬骨の線が残ることがありますが、自然なシワに沿って手術計画を立て、傷跡を目立たなくするケアを行います。

Can this be combined with eye-bag surgery?
Yes—combining fat repositioning, festoon tightening/redraping, and lid support often gives the smoothest, most durable result.

How long should overseas patients stay?
Plan 10–14 days for stitch removal and early checks; complex cases may benefit from an additional follow-up.

シンサL美容外科（江南・シンサ）へお越しください

• Address: 3F–4F, 598 Gangnam-daero, Gangnam-gu, Seoul (Road name)
  Lot address: 17-4 Nonhyeon-dong, Gangnam-gu
• 地下鉄3号線新沙駅3番出口→徒歩約1分
• Hours: Weekdays 10:00–19:00 | Saturday 10:00–17:00 | Sun/Holidays Closed
• 電話：02-517-7410

Book a Consultation

Send front/45°/side photos (relaxed and smiling) and note any prior fillers or surgeries. We’ll map the drivers of your festoons and design a targeted, natural repair—non-surgical prep when needed, and surgical redraping/support for lasting smoothness.