These do not appear to be perioral mounds. You may want to begin by visiting with a dermatologist for a diagnosis and then explore options to address them if they bother you. They are likely benign since you've had them so long without changes.
Thank you for your inquiry! Based on your photos, you're a great candidate for abdominal liposuction revision and liposuction to your back which can be done at the same time. We would love to sit down with you in person and discuss your concerns and all your options. Schedule a consultation with...
Congratulations on your weight loss! You might get some improvement with liposuction and J plasma, but it will not be a tummy tuck. Do wait until you have had all the children you want before getting the tuck.