How Can I Get Rid Of My Smiling Perioral Fullness?

Q: Dr. Eppley, I want toi get rid of my perioral fullness that occurs when I smile…but does not exist when my face is at rest.

A: What you are essentially asking is to treat a dynamic problem with a static procedure. Surgery is almost always performed to correct facial tissues at rest not if they just appear from active dynamic facial movements. The point being is that one may have to trade-off a contour indentation at rest (which does not now exist) to partially reduce the fullness when you smile. It is a question of trading off one problem for another….it is just a question of which one you see as worse.

Dr. Barry Eppley

World Renowned Plastic Surgeon