Is the area around my mouth puffy due to perioral mounds or nasolabial folds? (photos)

I appreciate
your question.Difficult to comment from the photo as cannot see the whole face.

The best way
to assess and give true advice would be an in-person exam for peri oral rejuvenation.

Please see a
board-certified plastic surgeon that specializes in aesthetic and restorative
breast surgery.



best of luck!



Dr Schwartz

Thank you for your question and sharing your photo.  I would recommend that you visit a board certified plastic surgeon or dermatologist who can help develop a plan for peri-oral rejuvenation.  Treatment options often include dermal fillers, skin care, and skin tigthening options.

Thanks for the question and thanks for including the photo – but asnoted, the photo is not the best to make many accurate statements. I would suggest that you consult with a board certified dermatologist or plastic surgeon so that you can have the proper assessment and have the proper treatment plan reviewed with you – and this may be using fillers in the mid-cheek area which then can smoothen out the areas around the nasolabial folds. Most of us use Voluma or Perlane or Radiesse in these areas for the best results.

This is not the best picture because it doesn't show the whole face.  I see what you are saying.  I think that putting filler in the NLF will exacerbate the problem.  Lifting the area by placement of filler in the cheeks is the approach I would probably do.

This photo is really hard to tell because the lighting is also bad which makes the mouth look more pronounced than it probably is. So, based solely on this photo, I would suggest fillers into the upper cheek region which will help lift that area that is puffy. Adding filler into the mouth and NLF area most likely will make it look even more pronounced than it already appears. If you can provide more photos, we may be able to give better answers. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."