Is liposculpture the best treatment for perioral mounds? (Photo)

Perioral mounds are not an excess fat growth. It is how the soft tissues drape skeletal structure especially in those who have a mandible that lacks forward projection compared to the maxilla.

This typically happens in people who have a dental overbite occlusion.

You’ll also notice people who have these have an upper lip that has significantly more forward projection than the lower lip.

Liposuction is not going to correct this.

Working with fillers can help and is forgiving if you don’t like the outcome.

The reason for all your conflicting data is that none of the treatments are going after the primary problem which is facial skeletal structure.

In this case treating the primary problem is quite involved and so people look for soft tissue solutions.

There is no one single treatment that consistently delivers what people want.

You can try any of the treatments you’ve described but none of them are going to completely fix the problem.

Fillers in the pre-jowl sulcus is an option.

Best,

Mats Hagstrom MD