Perioral Mound Liposuction
Dr. Eppley, I’ve had buccal fat pad removal two year ago and it derounded my fat considerably. I am happy with the results. However, it did no good to my perioral mounds. I came across the your name online while looking for perioral mound liposuction. I wonder how much the procedure costs, its duration and recovery time. I saw three doctors and none of them were familiar with the procedure and they all discourage me to have it done. Note this is a genetic thing, my father and my brother also have it.
A: As you observed by your own experience, buccal lipectomies do not address the perioral mound area. That is a separate subcutaneous fat layer that sits below the encapsulated fat of the buccal space. Perioral mound liposuction is done through small incisions inside the mouth. Other than some swelling there is no real other recovery issues. I would correlate its recovery to that of your prior buccal lipectomy experience. Because it is a small amount of fat removal it will take longer to see the final result than that of a buccal lipectomy, roughly 6 to 8 weeks to see the very final effect on the shape of the face in that area.
Dr. Barry Eppley