Can I Regain The Fullness After Perioral Mound Liposuction If I Gain Weight?

Q: Dr. Eppley,Hello, a couple of questions. I’m planning on getting perioral mound liposuction, mouth widening surgery, a dermal fat graft into my labiomental crease, and maybe a buccinator myectomy (if needed) I’ve already had around 85% of my buccal fat removed so I dont need anymore removed. A couple questions I workout so I fluctuate in weight by roughly 20 pounds depending if I’m bulking or cutting. I gain slowly (roughly half a pound a week) I was curious would gaining/losing weight effect the perioral mound liposuction? As in would it come back if I gained a bit of weight? As well as would the fat graft in my labiomental crease get smaller/bigger if I gain/lose weight? Also, I’m going to he getting a genioplasty at some point mostly vertical movement and maybe 2 to 3mm forward movement would it be best too get the fat graft in the labiomental crease after that procedure? Also how much would this is all cost? Sorry for so many questions! 

A: Thank you for your inquiry. In answer to your questions:

1) Since the perioral mound areas is subcutaneous fat and not really a typical fat depot area, it should not be affected by the weight gain that you have described.

2) The injection fat graft is a more relevant one for the concern about it changing with weight gain or weight loss particularly if the abdomen is the donor site. Which is why the inner thigh should be used as this is not a typical fat depot site.

3) Whether you do a labiomental fat graft during or after a primarily vertical lengthening genioplasty is irrelevant from a technical standpoint. It is more relevant from the effects of the genioplasty as vertical lengthening genioplasties tend to lessen the natural depth of the labiomental sulcus. So it is possible you may not need anything done to the labiomental sulcus based on the effects of the lengthening genioplasty. This would be the argument to wait and see.

Dr. Barry Eppley

Indianapolis, Indiana