How to get rid of perioral mounds? (Photo)

Hello! It looks like you have some perioral laxity and the beginning of what may be jowling. Nonsurgically, I have found that the Ellacor device of microcoring treatments to be beneficial in removing between 5-8% of skin and tighten this area. You may require 3-4 treatments spaced a month apart but will deliver scarless results and is FDA approved for mid to lower face tightening. Check it out!

That is not fat and liposuction in that area can cause nerve damage to your mouth. I would suggest micro-needling with radiofrequency to tighten your skin in that area and Sculptra injections for the thin areas of your face for more volume.

I would recommend botox to decrease muscle action and intradermal fat grafting around the mound ,which may need more than one treatment