How Can I Get Rid Of My Perioral Mounds After A Necklift?

Q: Dr. Eppley, Already had neck lift with liposuction, nose job and lower eye bags removed. Have unusually large perioral mounds with a face fold right through them. They are biggest in the morning and reduce in size as the day progresses, so I took a nap for these pix. Also still have some neck wrinkles and sag.

Temple lift eliminates neck wrinkles and sag, and eliminates fold through perioral mounds. But, perioral mounds are still there.Want to get rid of perioral mounds, face folds in perioral mounds and neck wrinkle/sag.Very much opposed to any kind of facial volume injections or prosthetics. 

Very much want to avoid changing eyes the way they are. 

A:The perioral sag issue which you have is a difficult to resolve of which the only effective solution is a rotational lower facelift. Whether you have the sideburn/temporal hairline to support such a procedure I can not say from these pictures…but many men don’t. (it would take a true side view picture to make that determination) t is not going to be resolved by any form of liposuction or indirect temporal lift. Like your residual neck folds it requires a sweeping skin flap undermining and elevation up and back to redistribute what is essentially sagging skin.

Dr. Barry Eppley

World-Renowned Plastic Surgeon