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Perioral Mound Liposuction: Evaluating Safety and Efficacy

Perioral mound reduction surgery is a cosmetic procedure aimed at improving the appearance of the perioral mounds, which are pockets of fat located around the mouth area. Many individuals develop perioral mounds as they age or gain weight, leading to a bottom-heavy and less defined facial contour. In this article, we will explore the basics of perioral mound reduction surgery, including its benefits, procedures involved, ideal candidates, cost, and recovery process.

What Are Perioral Mounds?

Perioral mounds are localized areas of excess fat that extend from the edges of the mouth toward the jawline. They are often a source of dissatisfaction for individuals seeking facial rejuvenation. The accumulation of fat in the perioral mounds can occur due to weight gain or as a result of the natural aging process. Over time, the effects of gravity cause the fat deposits to descend, resulting in a less defined jawline and the appearance of jowls.

Benefits of Perioral Mound Reduction Surgery

Perioral mound reduction surgery offers several benefits to individuals looking to improve their facial contour and restore a more youthful appearance. By removing excess fat from the perioral mounds, the procedure can:

  1. Enhance facial symmetry and balance
  2. Improve definition and contour of the jawline
  3. Restore a more youthful and rejuvenated appearance
  4. Boost self-confidence and self-esteem
Perioral Mound Liposuction technique

Procedures Involved in Perioral Mound Reduction Surgery

There are several procedures available for perioral mound reduction, each tailored to the specific needs of the patient. These procedures include:

Radiofrequency Procedures

Radiofrequency procedures, such as FaceTite® and AccuTite®, utilize advanced technology to safely heat and destroy fat cells beneath the skin. These procedures effectively reduce perioral mound fullness without the need for invasive surgery.


Micro-liposuction is a minimally invasive procedure that involves the use of a small tube and gentle suction to remove excess fat cells from the perioral mound area. This technique allows for precise fat removal, ensuring natural-looking results with minimal scarring.

Buccal Mucosal Myectomy (Buccinator Myectomy)

In some cases, the appearance of enlarged perioral mounds may be due to underlying muscles and tissues rather than excess fat. A buccal mucosal myomectomy is a surgical procedure that involves the careful removal of a portion of the buccinator muscles and mucosal lining to restore a more proportionate facial contour.

Ideal Candidates for Perioral Mound Reduction Surgery

Perioral mound reduction surgery is most suitable for individuals who meet the following criteria:

  1. Individuals aged between 20-50 years old
  2. Those with localized excess fat in the perioral mounds rather than significant skin laxity
  3. Patients seeking improvement in facial symmetry and contour
  4. Individuals in good overall health without any contraindications for surgery

It is essential to consult with a qualified and experienced plastic surgeon to determine if perioral mound reduction surgery is the right option for you.

Cost of Perioral Mound Reduction Surgery

The cost of perioral mound reduction surgery can vary depending on several factors, including the surgeon’s expertise, location, and the specific techniques employed. On average, the cost ranges from $3,000 to $5,000. It is crucial to discuss the cost and payment options with your plastic surgeon during the initial consultation.

Recovery Process and Expected Results

The recovery process after perioral mound reduction surgery is typically straightforward, with minimal discomfort and downtime. Patients may experience slight bruising and swelling in the treated area, which gradually subsides within a few weeks. Pain is generally minimal and can be managed with over-the-counter pain medications.

Full recovery from perioral mound reduction surgery may take several weeks, during which patients are advised to follow their surgeon’s post-operative instructions carefully. It is essential to avoid strenuous activities and maintain a healthy lifestyle to optimize the healing process.

The results of perioral mound reduction surgery are usually long-lasting, providing patients with a more defined jawline and improved facial contours. However, it is important to note that the aging process will continue, and additional maintenance treatments may be required in the future to maintain optimal results.

Risks and Considerations

Perioral mound reduction surgery is generally considered safe. However, like any surgical procedure, there are potential risks and complications that patients should be aware of. These may include:

  • Infection
  • Bleeding
  • Skin hyperpigmentation
  • Unsatisfactory results

It is crucial to choose a board-certified plastic surgeon with extensive experience in facial rejuvenation procedures to minimize the risk of complications and achieve the desired outcomes.


Perioral mound reduction surgery offers a safe and effective solution for individuals seeking to improve facial symmetry and contour by reducing excess fat in the perioral mound area. With various techniques available, including radiofrequency procedures and micro-liposuction, patients can achieve natural-looking results with minimal scarring and downtime. Consulting with a qualified plastic surgeon is essential to determine if perioral mound reduction surgery is the right option for you and to discuss the potential benefits and risks associated with the procedure.

If you are bothered by the appearance of perioral mounds and desire a more defined jawline, schedule a consultation with a trusted plastic surgeon to explore the possibilities of perioral mound reduction surgery. Reclaim your confidence and achieve the facial contour you desire.

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