Perioral mounds - How can I get rid of them? (Photos)

Question

I've asked this question before and I want to know the best way to remove them. I don't think buccal pad removal is what I need. I've also heard a small cannula liposuction from a small incision from the corner of the mouth but wouldn't that be a high risk of nerve damage in the face? What's my best option?

Sanjay Lalla, MD, FACS · Answer

Hello. We don't try to do liposuction of the face for all of these reasons including nerve damage. You can try some noninvasive options to see if those help you ( besides some weight loss). Good luck

Raffy Karamanoukian, MD, FACS · Answer

I would opt for nonsurgical tightening with Morpheus, Yag laser, Venus Viva RF, and Ultherapy first and then consider a longterm solution with buccal fat removal.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Patrick K. Sullivan, MD · Answer

We are so happy you asked about Perioral mounds.  This is an area of great interest to us as well.  We performed a study that we then published about the subject.  This will give you additional information including before and after pictures of our results.  Since the time we published this we have designed even better instrumentation for the treatment that is very small and delicate.  We are enthusiastic about results and hope you enjoy the study.
An Anatomical Evaluation and Surgical Approach to the Perioral Mound in Facial Rejuvenation

Plastic and Reconstructive Surgery, October 2010
Volume 126, Number 4

Brian Coan, MD, FACS · Answer

That is a great question:  An in-person consult is the best way to discuss your questions.   Be sure to find a surgeon with the following credentials:  *Board Certified by the American Board of Plastic Surgery -- The gold star symbol   *A member of the ASPS (American Society of Plastic Surgeons) -- The circle symbol  *A member of the ASAPS (American Society of Aesthetic Plastic Surgeons) -- the Queen Nefertitti symbol with a Triangle.  Feel free to contact our office, it would be our pleasure to answer your questions in person.  My best, Brian Coan, MD, FACS

Barry L. Eppley, MD, DMD · Answer

I have performed may perioral mound liposuction procedures just as you have described. The reason that it is safe is that there are no facial nerves in the perioral mind area, they are superior and anterior to this facial zone.

Reza Momeni, MD, FACS · Answer

I do not recommend buccal fat pad removal.  I also do not recommend liposuction in the face.  Both have a high rate of dissatisfaction and potential medical complications in my humble opinion.  Often a little weight loss will take care of the little bit of excess tissue you see, since you're young and your skin is elastic and in great shape.

Brooke R. Seckel, MD, FACS (retired) · Answer

There is significant risk of nerve damage if liposuction is done in the area around the corner of the mouth and jaw.  Such injury could create a permanent paralysis and crooked smile and you should not even consider liposuction in this area.  If you were older a facelift might lift this tissue but you are too young for that procedure.

Perioral mounds - How can I get rid of them? (Photos)

Answers (7)

More Liposuction Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Liposuction Questions

Are sports compression garments, ( like tight underarmour leggings) enough compression after thigh liposuction?

2 weeks post op. I have been using maxi pads inside my stage 2 faja, causing dents and creasing. Is this permanent? (Photo)

Liposuction drainage leakage for 6 days only on left arm, is this normal?

Walking around an amusement park 3 weeks after Lipo, will it cause issues?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS