On both sides of my lips you can see sort of "pouches" or pocket of fat or is it muscle? What can be done? (photo)

Question

Botox, filler? Open to any and all suggestions!

Ramandeep Sidhu, MD · Answer

That's because of the laxity and volume loss. The best option will be in person consultation and discuss the tightening/lifting procedure like Ultherapy or discuss fillers to take care of the area of concern. Hope it helps.

Rohit Jaiswal, MD · Answer

Thanks for your question and posting a photo. 
An in person evaluation would be needed to know for sure, but likely what you are referring to is a result of natural facial aging. As we age, three things in particular usually happen: decrease in the elasticity of skin, loss of facial volume (fat), and drop in the position of tissues- called ptosis. The troublesome area you may be referring to is likely a result of the last issue- the drop in position of facial tissues. It is likely due to fat that has dropped in position from your lower cheek down to outside your lips. 
Unfortunately, Botox or fillers are not likely to correct the problem. In order to treat tissues that have dropped, they should be repositioned back to where they should be- this requires surgery. A form of facelift may be appropriate for you. Seeing a qualified plastic surgeon will allow a full examination and a detailed, personalized treatment plan to be discussed with you. 
Best wishes, 
Rohit Jaiswal, MD
Plastic Surgeon

Ohan Ohanes, MBBCh · Answer

Thanks for your question. The reason why you have this small pouch is skin laxity associated with volume loss in the mid face. This can be improved with combination treatments of HA dermal fillers, energy based skin tightening like Radiofreqency and silhouette soft threads.

Shaun Patel, MD · Answer

The "pouch" you are seeing adjacent to your mouth is related to volume loss and skin laxity. A combination of fillers and a skin tightening treatment (i.e. Thermage CPT or FLX) would give you a nice improvement without having to undergo surgery.

David Hansen, MD · Answer

Tightening of the skin with Fractora RF is easy and noticeable. If you've wasted money on thermage or ultherapy, then you will be pleased to see something that actually works.  It is Fractora RF and is so worth tightening up those saggy skin areas.

On both sides of my lips you can see sort of "pouches" or pocket of fat or is it muscle? What can be done? (photo)

Answers (6)

Answer: Treating volume loss and skin laxity

Answer: Treating volume loss and skin laxity

Answer: Loose skin can be tightened with Fractora RF.

Answer: Loose skin can be tightened with Fractora RF.

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.

On both sides of my lips you can see sort of "pouches" or pocket of fat or is it muscle? What can be done? (photo)

Answers (6)

Answer: Treating volume loss and skin laxity

Answer: Treating volume loss and skin laxity

Answer: Loose skin can be tightened with Fractora RF.

Answer: Loose skin can be tightened with Fractora RF.

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.