Festoons are similar to malar bags but occur below the eye bag area or malar area on the face. We often describe festoons as pouches or sweeling on the cheek bone under the eye or creases of skin that form below the lower eyelid to upper cheek bone area. They are located around the boney orbital rim at the lower lid cheek junction. In extreme cases there can be excessive skin laxity or excessive skin and swelling.
They can also be called triangular cheek festoon, fluid bags or cheek bags. Like malar bags, festoons can be genetic, can be caused by dermal fillers being placed incorrectyl or the dermal filler dropping. They can develop and worsen with age.