In this episode of The Oculofacial Podcast, host Dr. David Samimi is joined by an expert panel including Drs. Larry Kass, Allen Wulc, Julian Perry, and Adam Scheiner to discuss the management of one of the more challenging problems in aesthetic and reconstructive oculoplastic surgery – lower eyelid festoons and malar mounds. The conversation covers topics including patient evaluation, treatment selection, laser resurfacing, injectable tetracycline, surgical techniques, midface lifting, fat grafting, direct festoon excision, and pearls for avoiding complications and recurrence. They also discuss why patient counseling and expectation management are critical to achieving successful outcomes. Each expert offers their own personal experience in the treatment of festoons to deliver expert insights and treatment and surgical pearls. Disclaimer: The opinions and perspectives expressed by participants are their own and are shared for informational discussion purposes only. Statements made during the podcast may not be those of ASOPRS or the ASOPRS Board of Directors.