Perioral Mound Liposuction

Q: Dr. Eppley, I am attaching some photos for assessment for perioral mound liposuction The area I am concerned with is particularly visible in a 3/4 facial profile, but it also shows up in straight-on shots as weird shadowing around and below the corners of my mouth. Ideally, I would like this area to flatten, so that I can have a straighter profile. However, I am worried that fat removal in this area could cause laxness or drooping of the skin. I would like to avoid jowling! 

I also have dimples in my cheeks when I smile — not sure if this makes any kind of difference, but I thought I would let you know. Thank you!

A: Thank you for sending your picture for consideration for personal mound liposuction. Your area of concern would be considered the perioral mound region. It is really only treatable by very small cannula liposuction through a small incision inside the corner of the mouth. I have not seen loose and lax skin develop afterwards as almost every perioral mound liposuction procedure I have done is in younger patients. But even in the older patients I have treated this has not been an issue that has occurred.

Having cheek dimples does not affect the result, positively or negatively.

Dr. Barry Eppley

Indianapolis, Indiana