How do I fix my perioral mounds? (Photo)

Question

Hello. I am 40 years old. Every year my peri oral mounds become more prominent. Should I use HA filler or sculptra around the area to give it more support or should I try micro liposuction? Some injectors have mentioned trying a thick deep filler and others mentioned a closer to the surface filler with more movement. I want to be proactive but also don't want to make my lower face too heavy with fillers. Thank you!

Nelson Lee Novick, MD · Answer

The use of a robust HA volumizing filler injected horizontally a long the mental crease (the fold running horizontally below the lower lip and and above chin) may work well for lessening the apparent prominence of the perioral mounds. However, before using filler to improve the area, I usually suggest a real-world test treatment using an injection of a salt solution or a dilute anesthetic solution to be able to assess the potential benefit from actual filler treatment. Make sure to consult with an experienced board certified cosmetic dermatologist filler expert. Best of luck.

How do I fix my perioral mounds? (Photo)

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