Peri oral mounds/pre jowl sulcus area needs help. (photos)

Hi @abbycooper. I recommend Morpheus 8. Morpheus8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima!

You appear on the photos to have volume loss in the anterolateral chin and prejowl sulcus which could easily be treated using a hyaluronic acid based filler such as Juvederm and a cannula technique. Atleast, this is my preferred technique in my practice. 

Hi abbycooper,Thank you for the pictures.  Injections below your Perioral mounds should help fill the shadows and therefore decrease contrast and the appearance of the mounds.  It will also help support the foundation of that area so that with time, your mounds don't droop/collapse down.Good luck!