What can be done with this fat pocket? (Photo)

I suggest a formal consult this can be camoflaged by fillers, it can be injected with kybella to remove it or liposuctioned, possibly surgically removed if it is a large lump/granuloma, or injected with steroid/5FU.  This needs a formal assessment.  

There are essentially 3 options listed below in descending order of invasiveness and predictability: Direct open excision (would require a small skin incision or possibly could be accessed with an incision within the mouth, however, the latter approach would carry definite risk to the mental nerve and possible lower lip and chin numbness).Focal micro-liposuction.Off-label use of Kybella. Mario J. Imola, MD, DDS. FRCSC, FACS.

The fat can be removed with micro-liposuctioning using a syringe and an 18 gauge needle.  You can try some skin tightening afterwards such as Refirme, Titan or Thermage.  Best of luck. Dr. Michael Omidi









An in-person exam with a
board-certified plastic surgeon is the best way to assess your needs and
provide true medical advice.