How Can I Fix My Perioral Mounds?

Q: Dr. Eppley, I am a 26 year old female and I have been researching how to fix my perioral mounds for a couple years now and cannot seem to find a solution that I find suitable for myself. 

I’m not sure why this is such a hard issue to fix but it is becoming VERY bothersome to me and I’d like to find a solution. It does not matter if I am slightly overweight or in perfectly good shape my perioral mounds never go away. 

I can tell they are definitely a combination of fat and very thickened mucosa, I feel like I could just bite off the very inside corners of my mouth and it would completely take care of the problem.

A: Based on your pictures you are referring to a combination of perioral mound liposuction for the external lower cheek bulge and an inner buccal mucosal elliptical excision to treat both sides of the cheek contour issue. Those insights are diagnostically correct and you are also correct in that this is a straightforward surgery to do. (at least for me)

Dr. Barry Eppley

World-Renowned Plastic Surgeon