Hi! I'm a 40 y/o female, 5'4", 195lbs. I have mounds on either side of my face that are more pronounced at my current weight, but are definitely still present at my usual weight of 140lbs. These seem to be genetic as both my mother and maternal grandmother have them - and they are present in photos throughout their lives. I hate them. What are my options??
March 22, 2023
Answer: Understanding the Peri oral mound The Peri, oral mound is not easily understood or treated. It is in my opinion most likely more related to facial skeletal structure then issues related to soft tissues. Soft tissue coverage of the face tends to be fairly consistent from person to person and variables to determine desirable aesthetic, facial traits, can often be Explained by bone structure. Oral surgeons tend to take a more facial, skeletal approach to facial aesthetics while plastic surgeons tend to take a more soft tissue approach. The area is adjacent to the corner of the mouth where a myriad of muscles come together to move the mouth, and the entire cheek for functional and emotional causes , it is the muscles of facial expression and the functional lip muscles that all come together. The muscles themselves, including their tendons, give some volume, but the pull of these muscles also create certain contours by the forces that they put on their overlying skin. While there is subcutaneous fat in almost every layer of the body, there’s no particular thick fat pad in this area. There are providers who claim to have successful treatments, including the ability to differentiate if this is more related to subcutaneous, fat or bulkiness of muscles. I question if the procedures deliver a consistent quality results, though they may have some subtle benefit. Recognize that all surgical intervention has risks and uncertainty especially when the treatment and problem are not clearly understood.
Helpful 2 people found this helpful
March 22, 2023
Answer: Understanding the Peri oral mound The Peri, oral mound is not easily understood or treated. It is in my opinion most likely more related to facial skeletal structure then issues related to soft tissues. Soft tissue coverage of the face tends to be fairly consistent from person to person and variables to determine desirable aesthetic, facial traits, can often be Explained by bone structure. Oral surgeons tend to take a more facial, skeletal approach to facial aesthetics while plastic surgeons tend to take a more soft tissue approach. The area is adjacent to the corner of the mouth where a myriad of muscles come together to move the mouth, and the entire cheek for functional and emotional causes , it is the muscles of facial expression and the functional lip muscles that all come together. The muscles themselves, including their tendons, give some volume, but the pull of these muscles also create certain contours by the forces that they put on their overlying skin. While there is subcutaneous fat in almost every layer of the body, there’s no particular thick fat pad in this area. There are providers who claim to have successful treatments, including the ability to differentiate if this is more related to subcutaneous, fat or bulkiness of muscles. I question if the procedures deliver a consistent quality results, though they may have some subtle benefit. Recognize that all surgical intervention has risks and uncertainty especially when the treatment and problem are not clearly understood.
Helpful 2 people found this helpful
