Would a facelift help these perioral mounds? (Photos)

Question

I don't think it's my jaw that's sagging, but I've got these pockets of skin next to my mouth which I believe are perioral mounds. I've read these are notoriously difficult to treat. I think I'd be a good candidate for a facelift, but I'm just not sure if it would actually address these. Could I get some thoughts, please?

Mehmet Ozdemir, MD · Answer

Thank you for your question.
Based on your photos and description, you appear to be a suitable candidate for a midface lift. This procedure can help reposition the deeper tissues of the midface, which may improve the appearance of fullness and contour around the area beside the mouth.
A consultation would help determine the most appropriate approach based on your anatomy and aesthetic goals. I hope this helps.

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photographs. The perioral mounds can indeed be a challenging area to improve, particularly when it is not primarily related to skin laxity.

If you would like to gauge the potential impact of a facelift on these lines, I suggest looking at your reflection while lying completely flat without a pillow, using a mirror rather than a mobile phone. In this position, gravitational descent is reduced, and it can provide a useful approximation of the lifting effect achieved with surgery.

If the degree of softening you observe in that position aligns with your expectations, a short-scar deep plane facelift is likely to produce a result that corresponds reasonably closely to that appearance.

Williams Bukret, MD · Answer

Perioral mounds can be difficult to treat because they are not always caused by the same problem.

In some patients, fullness next to the mouth is related to early soft tissue descent, jowling, or loss of support in the lower face. In those cases, a well-planned facelift may help improve the transition between the cheek, mouth, and jawline.

However, in other patients, the appearance can be related to volume, previous filler, skin quality, facial expression, swelling, or the natural anatomy of the perioral area. If there is a filler or volume component, lifting alone may not fully correct the issue, and sometimes reassessing or dissolving filler first is part of the plan.

From photos alone, I would be cautious about saying that a facelift will definitely address this. The key question is whether the “mound” is mainly from tissue descent, volume excess, or skin and soft tissue behavior around the mouth.

A deep plane facelift can be useful when there is true lower face laxity, jowling, and cheek descent. But if the main issue is localized perioral fullness, the plan may need to be more individualized and sometimes more conservative.

The safest approach is an in-person evaluation of facial movement, filler history, skin quality, jawline support, and neck anatomy before choosing a procedure.

Best regards,  
Williams E. Bukret, MD  
Plastic Surgeon

Darryl J. Blinski, MD · Answer

Based on 2 posted photos I agree an anterior mini face lift with muscle plication could be effective. Fee ranges from $8,000-$12,000. Best to virtual consult with

Would a facelift help these perioral mounds? (Photos)

Answers (4)

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