Pocket of Fat in Perioral Mound Area

The fat lumps starting at the corners of my mouth as shown in the picture have bothered me for some time now. I am wondering if any doctors have had experience in removing and smoothening this area. I know many doctors are reluctant based on possible nerve damage and asymmetry.

Doctor Answers 3

Buccal fat pad removal

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Your single small posted photo does not allow a complete analysis of the situation. You will need a face to face examination with a qualified surgeon. If this small bulging fat is reducible by hand then it is shifted buccal fat. The solution then is removal of the buccal fat pad via an incision inside the mouth.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon

That is not fat. That is perioral musculature.

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You have a thin face.  I assume looking at that part of your face that you are unusually thin.  Your issue is not localized fat.  You are missing volume in the face.  You can consider this the chiseled look.  If you want something done, the answer would be to place hyaluronic acid filler to fill in around these muscles.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

How to treat localized fat deposits

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Surgical treatment for localized fat deposits can be difficult.  Although small liposuction cannulas can be used safely, the difficulty lies in getting a smooth, well contoured result. Often times, however, 'fat pockets' are really the sign of volume loss in adjacent areas.  It is difficult to tell with your photo, but it may be that you need more volume rather than less.  This can be easily determined with a consultation.

Joseph Campanelli, MD
Portland Facial Plastic Surgeon

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.