Fat lumps and loss of volume in face. (photos)

Im a 27 year old i am very bothered by the fat pad on the right side of my mouth. I have also lost volume in my cheeks. I am very depressed over this and feel that i look much older than what i am. I've had a small amount of perlane injected on my marionette line thinking this might help, but it has not. 2 years ago i had maxiofacial surgery (bimax) & lost 9 kg and have now gained it back. Since then, my face has aged 10 years. Should i consider liposuction, fillers or facelift? Thank you!

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