Puffiness around mouth - what could this be? Will I need fillers? (Photo)

There are several potential causes for puffiness around the mouth, including allergies, excess fat, fluid retention, or loss of volume. It is important to consult with a medical professional to determine the underlying cause and recommend appropriate treatment options. Fillers may be an option to address loss of volume, but it depends on the individual case. Other treatments such as allergy medication or lifestyle changes may be more appropriate.

Dear eiadoll,
A year ago I would have recommended that you do nothing. However, recently some work has come to light about microliposuction of the small areas of bulging, that I believe you are referring to. During the procedure very small aliquots of fat are removed with very small cannulae. Not many clinicians are familiar with the procedure, but it is not difficult and you might find an American Board of Plastic Surgery board certified plastic surgeon that does facial liposuction that would do it. Good luck!