Actual RealSelf Patient Comment: I’m 30 y.o., but have had fatty perioral mounds/a droopy mouth area since I was a teenager. I’m thin, so losing weight won’t fix it – it’s something I’ve inherited from my mother. (I also know that it will get worse with age.) I’m open to liposuction, but am afraid of losing my general face shape. I like my round face, and don’t want to look too thin or gaunt (esp. because I have big cheeks). I just want to get rid of the lumpiness – e.g., when I smile and the fattiness gets pulled taut.

before and after before and after

Dr. Persky’s Answer: Hi Mowski,
I would recommend a combination treatment of tightening your skin non-surgically as well as strategically adding volume to your facial foundation. I have successfully treated many patients with this approach resulting in beautifully natural outcomes that are long lasting. The treatment with multi-modalities (Sculptra, Profound RF, PRP (platelet rich plasma), laser, and exosomes) is performed at one sitting. Please feel free to contact me with any further questions, concerns, and/or to schedule your personal complimentary consultation. I look forward to meeting with you and the privilege of helping you achieve and maintain your facial aesthetic goals for many years to come. Good luck and be well.