Perioral Mound Liposuction

Q: Dr. Eppley, I am interested in Perioral mound liposuction. I received Perlane to the corners of of my mouth and they have never been the same. I know the product is gone, but nonetheless the bulges remain. I do not know if they are fat, scar tissue or simply excess soft tissue, but I have these convex mounds on either side of my mouth which are less than attractive. I hate them and want them gone. They age me more than any other facial area.

A: Thank you for sending your pictures. Despite your lean face you do have very discrete convex mounds at the sides of your mouth. I could not tell you what composes them or how effectively they can be eradicated. But I do know that the only procedure that has any chance of reducing them would be small cannula perioral mound liposuction. This can be performed under local anesthesia or IV sedation. This is a small procedure that has a short recovery. Because of swelling and the small size of the perioral mounds, perioral mound liposuction can take several months to see the final result. I will have my assistant followup with you tomorrow to pass along the cost of the procedure.

Dr. Barry Eppley

Indianapolis, Indiana