Excess puffiness/fat at corners of the mouth (perioral), what are my cosmetic options?

Question

At the corners of my mouth, I see what I call "face fat." It is puffy and creates a noticible indent shadow at the corners of my mouth. It is noticeable when I smile and when I am not smiling. I am 5 feet and 5 inches tall, about 120-125 pounds. Do I need to lose weight or is this due to aging? What are my cosmetic options, and which doctor speciality should I have a consultation with? Thank you

Tanveer Janjua, MD · Answer

This is the hardest area to treat. There is no easy solution. Fillers can be used around the bulges to camouflauge them. In older patients a facelift can sometimes help. RegardsDr. J

Anna Avaliani, MD · Answer

Hello and thank your your picture and question.  The photos provided are not really helpful because of the angles you took. Based on this limited information, your concern is due to loss of fullness in your cheekbones and early skin sagging.  Different concerns require different treatments and the best way to approach the is to see an expert physician for an in person consultation  that you feel comfortable with. You may need a combination of  fillers and lasers. Best, Dr.Avaliani

Sundeep Soin, MBBS · Answer

Fillers around the area can help but will have to be carefully placed and depended if there is any fat migration that might be an issue also.

Raja Mohan, MD · Answer

Please feel free to submit a picture so we can have a better idea of what you mean but from your description, this is something we do not have a good solution for. In some cases, lip filler can help add volume and make these areas less noticeable. Hope this helps.

Lawrence Janowski, MD · Answer

Honestly, I am not aware of any solution for this.  Most likely as you age this will become less prominent.  Perhaps a facial plastic surgeon would have some insights.  Best of luck.

Excess puffiness/fat at corners of the mouth (perioral), what are my cosmetic options?

Answers (7)

Answer: Corners of mouth

Answer: Corners of mouth

Answer: Corners

Answer: Corners

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Excess puffiness/fat at corners of the mouth (perioral), what are my cosmetic options?

Answers (7)

Answer: Corners of mouth

Answer: Corners of mouth

Answer: Corners

Answer: Corners

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.