Festoons are overhanging folds of skin and muscle that create an unsightly appearance to the lower lids and their transition to the middle face. Procedures used to remove eyelid festoons include, laser skin shrinkage, aggressive (so called extended) lower blepharoplasty, the addition of midface lifting, lower lid muscle tightening, the injection of various chemicals for shrinkage, and “direct excision.” Click on the images for a more detailed view and description of the procedure.