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.
Severe festoons become moderate and moderate festoons become mild, Sathyadeepak Ramesh, MD, said at the American Society of Ophthalmic Plastic and Reconstructive Surgery meeting.
However, in milder cases, he added, “You can make a modest improvement in festoons; you can’t eradicate the festoon,” according to a media release from Healio.
From 2015 to 2019, 29 patients underwent four combined radiofrequency and microneedling treatments at intervals of 4 weeks. Each treatment consisted of two passes with the device, with the deeper 1.5 µm first pass stimulating deeper collagen and the shallower second pass at 0.8 µm stimulating the more superficial layers.
Twenty oculoplastic specialists graded before and after treatment photographs from 0 to 3, according to a Likert-type scale, with 0 being no festoon and 3 being severe festoon.
Festoon severity improved in all patients. No complications were reported, and no patient requested further treatment, Ramesh said.
Overall, the combined technique statistically significantly reduced the prominence of festoons (P < .05), and in more severely graded cases, the effect was even greater (P < .01), the release continues.