Is liposculpture the best treatment for perioral mounds? (Photo)

I have deposits of fat on my face around my mouth - from research I believe they are perioral mounds. I am extremely self conscious about them and they make my face look full and sagging even though I am young and of a healthy weight. I have seen many surgeons discourage cheek liposuction/ liposculpture while others recommend it. What is the best treatment for this area? I have also seen kybella, cheek filler, thread lifts and laser tightening both recommended and discouraged. Please help!