Perioral mound - filler or lipo? (Photos)

Unfortunately, a profile view is lacking among the photos provided. However, the right face, three-quarter view suggests that there may be insufficient projection of the chin. Should this truly be the case, it is likely that improvement in the lower jaw/perioral region can be achieved by combining a nonsurgical chin augmentation, performed first, followed by actual volumization of the depressions that you dislike. My volumizing filler of choice for the chin, in my Upper East Side Manhattan practice, would be Voluma XC, and for the sides of the jaw, Restylane Lyft. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt for Emervel Volume for the chin and Hyaluronica 2 for the sides.)Treating these areas is not for novice injectors accustomed to injecting simple smile lines with ordinary fillers. So you would be wise to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in advanced injection techniques. And of course, be sure to ask to see his/her before and after photos. Before proceeding, you would be wise to also consider a dental consult to check to see if some bite irregularities are in any way contributing to your problem.Good luck to you.

Unfortunately these are actually fat pads and muscles and are more prominent when people have a weak chin/jawline.  This typically needs chin implantation or fillers to this area. I suggest seeing an expert.  Best, Dr. Emer.

Thank you for sharing your questions and photos. The area you complain about would probably look better following injection of dermal fillers. If this does not give a satisfactory result, more invasive treatment options can be considered.Good luck,