What procedure would fix lines around mouth? (photos)

Question

I have a prominence either side of and just below where my lips meet. They have over time increased in size. I thought they were due to loss of collagen in my facial skin, maybe marinate lines, but I now think they could be caused by the mandibular cutaneous ligaments, but I'm not sure. I want to identify them and find out if there's anything I can do to remove them please. I'm a 40 y/o trans woman (HRT 18 months) they predate my transition.

Farhan Taghizadeh, MD · Answer

Hello, and thanks for your question.  As we age, the fat pads in our cheeks and mid face tend to shrink.  This causes a loss of support for your skin, which then sags around the mouth and pre-jowl area. One solution is to replace the lost volume with dermal fillers in the lateral mid-face.  PDO Thread lifting is also a great solution to help suspend the skin that has lost elasticity and collagen.

A consultation with a facial plastic surgeon or an experience RN Injector is a great first step.  The solutions are pretty easy, about $3000 - $5000 depending on your market, and have little to no downtime.  You can expect a result that lasts about 2 years.

Hope this helps!
Best,
Dr. Taghizadeh

Gilbert Lee, MD · Answer

Thank you for your photos and questions. It is a little bit hard to tell exactly what is going on in the photos. My guess would be that you have some volume loss in the marionette region as well as some herniating buccal fat. Each issue make the other one look more severe. I recommend you schedule a consultation with a board certified Plastic Surgeon. They will be able to see your anatomy in person and develop a plan that is best for you. In our office we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

Michael Kernohan, MBBS, BDS, FRACS (Plast) · Answer

Hi our mid face fact compartments tend to descend with age, genetic and weight loss influences. There isn't an easy fix but there are options including a facelift with a small amount of focused liposuction. You could try liposuction alone but without lifting the soft tissues the results may be disappointing.

What procedure would fix lines around mouth? (photos)

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What procedure would fix lines around mouth? (photos)

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