Fat above lip? What can be done about this? (Photo)

That is probably muscle and not fat. Please do not try liposuction in that area or you may damage your lip. Low dose of Botox might improve the area.

It’s highly unlikely that you have an abnormal fat distribution or some unique fat pad above your lip.
Facial contour is a combination of skeletal structure and how the soft tissues drape the skeletal structure including tension from muscles or facial expression.
I’m guessing you probably have an under sized mandible that is small in comparison to your maxilla and that is most likely the cause for your facial contour. individuals with an under sized mandible will typically have a dental overbite occlusion, premature double chin, lack of jawline definition, premature jowls, profile pictures will show the upper lip having more forward projection than the lower lip. It can also cause contour issues around the jowls and around the mouth.
Attempting to manage this with soft tissue manipulation will most likely not fix the problem and could definitely create a new problem.
Almost all issues related to facial aesthetics on young healthy people are related to bone structure.
Best,
Mats Hagstrom MD