Management of perioral “bags”/’mounds” associated with low body fat
Relative “excess of skin” around the mount (perioral “bags”
or “mounds”) could be secondary to significant decrease cheek volume (midface).
When the cheeks are “deflated” due to aging or very low body fat” the facial
skin could “sag” around the corners of
the mouth. Restoring the volume of the cheeks may improve significantly this
physical finding. Midface volume can be improved with injectable fillers (e.g.
juvederm, restylane, volume) or autologous fat transfer (e.g. stemcellfacelift).
Patients seeking improvement of “perioral bags” should be evaluated by a board
certified plastic surgeon specialized in facial aesthetic surgery to determine
what procedure could best feed the patient’s specific needs
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Lower face treatment
There appears to be some volume loss in your lower face, which is most likely due to your 6% body fat. That loss of volume contributes to the mound on the lower portion near your mouth. Adding volume to the lower face will improve the mound and this volume could be addressed with surgically placed implants or injectable fillers.
Perioral Mound Liposuction and Corner of Mouth Lift
Those are either perioral mounds, a fold of skin or both. It is probably worth doing liposuction of the perioral mounds which will provide some reduction of them. This could be combined with a corner of the mouth lift to level out your smile line. A small chin implant would also help fill out your rounded lower chin for additional profile improvement.