Facelift: Q&A
Ask a QuestionAre These Perioral Mounds? (photo)
In the last year I have developed strange contours around my mouth, particually when I smile, are they perioral mounds? What can be done to improve it, its worse on one side. I naturally have mouth corners that turn down, is there any risk in this looking worse if I do microlipo in this area?
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4 Doctor Answers |
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Brangalina
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Liposuction of the Perioral Area
Fillers at the level of the oral commissure are usually a good choice. I would not recommend liposuction. Kenneth Hughes, MD Los Angeles, CA
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Peri oral 'mounds'
The mounds that you have developed are related to a combination of loss of subcutaneous fat leading to the appearance of loss of volume, or may be secondary to changes in muscle function. I wound initially recommend low dose Botox treatments in an effort to modify the activity of the orbicularis muscle around the mouth
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Contour issues around the mouth can be dealt with by fillers or Botox.
The picture demonstates some contour issues around the mouth that are the product of muscular function. The muscle can be weakened with Botox or the depressions filled with a filler.
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Improvement of the corners of the mouth
As we age, we lose volume in different areas of the face at different times. Loss of volume at the corners of the mouth can create the contour irregularities you are referring to. Temporary fillers (Restylane, Juvederm, etc) can improve the contours. Fat grafting can give a longer-term result, but the result can sometimes be more unpredictable. Filling these areas can also improve the downturned appearance of the corners of the mouth.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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