As An Older Patient Can My Perioral Mounds Be Treated By Microliposuction?

Q: Dr. Eppley, I have been reading on the internet that the problem that I have around the corners of my mouth are called perioral mounds. I would like to get those removed (microlipo?), or whatever I need to do to fix that area.

A:Like anywhere else on the body the success of liposuction is based on the skin’s ability to contract down after the fat is removed. While that can be very effective in the younger patient with tighter facial skin in the older patient with facial skin laxity this is not going to be effective. If the perioral liposuction is not combined with skin tightening, aka some form of a lower facelift, the mounds are not going to disappear as there is a skin laxity component to them.

Dr. Barry Eppley

World-Renowned Plastic Surgeon