Festoons are often called the second bag and appear below any prolapsing fat of the lower eyelid.  There are two types of festoons, wet and dry.  There are a myriad of methods to reduce or minimize festoons.  These include midface lifting, lasers, topical treatments,

and direct excision.  Performing a lower lid blepharoplasty and not addressing a festoon often makes the festoon look worse.  Dr. Zatezalo will discuss the best approach for your festoon.