Will Perioral Liposuction Cause Marionette Lines?

Q: Dr. Eppley, , I am 22 year old girl with chubby face that contains a lot of fat on face which eventually led to perioral mounds over my lower cheeks and fat deposition on my lips corners and even extended till upper lips . The fat deposition on upper lips led to slowly sinking my uper towards inward and I am really concern about it . How this will be reduced . Does after liposuction I have to maintain healthy weight or it will come back after weight gain and once I removed my perioral mound will it develop into marionette lines in future.

A: In my experience with perioral/cheek liposuction recurrence of the fat deposits has not been reported to me. But maintaining a good weight in any location of liposuction would be prudent. I am also not aware that such facial liposuction creates marionette lines or nasolabial folds.

Dr. Barry Eppley

World-Renowned Plastic Surgeon