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Posted underBuccal Fat Removal q&a

Perioral mounds, lines around eyes, fatty mouth - How do I fix these? (Photos)

whoopdeedooSep 28, 2025
Im really insecure about the circled areas, how do I fix these? I’m only 18, so I’m pretty young and have had these forever, I’ve included different angles. Are they due to my sleep position? Will they get worse as I age? People always think I’m older than I look because of these!!! They make me look 40!!! What are the circled areas actually called? Am i too young to get a facelift for these areas? Can they be fixed with weight loss/gain? I’m currently on tretinoin, can that help reduce these lines? Someone please help before I loose my mind!!! Is there anyway to permanently fix/get rid of these areas??? Or am I doomed to have them until I die?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Jaeil Lee, MD
Plastic Surgeon
Answered on Dec 2, 2025
Answer

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Jose Telich, MD

Hi Affectionate66483! Thank you for your question — it’s a very common concern. The best option really depends on the main cause of the fullness in your lower face. It seems that in your case the fullness is due to buccal fat (the fat pads in the mid-cheek area), so buccal fat removal may be ...

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Lexie Wang, MD

You do seem to have a bit of buccal fat fullness based on your side photos so that could be an option if you want to go down that track. Another option to get better neck/jawline contour for you would be to consider a deep neck lift.

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Lexie Wang, MD

It appears that what you are noticing is the natural attachments of muscles of mouth movement/smiling onto your mouth. Aka they are normal structures that should not be removed. This is why they will "go away" or minimize when you animate because they are associated with your muscle mvmt. Leave...

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Jose Telich, MD

Hi AlexInThePalace! Thank you for your question. The best option really depends on the main cause of the fullness in your lower face. If the roundness comes mainly from prominent jaw muscles, then Botox to the masseters can help slim and contour the lower face without surgery. The results are...

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Jose Telich, MD

Dear wtr3n thanks for sharing your question. Buccal fat removal and chin liposuction can both enhance facial definition, but they target different areas. Chin liposuction helps refine the jawline and reduce fullness under the chin, while buccal fat removal slims the mid-cheek area. If your...

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Jaime Caloca, Jr., MD

You will definitely benefit from Buccal Fat Pad REmoval. Ypou will not look masculine, just more defined and yoru jaw will not be more pronouced. I would recommend considerable fat removal from the Buccal Fat pad in order to provide a noticeable difference.

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