Pockets/Pouches Beside Mouth: How can I fix these? Filler, Botox, Fat Grafting, Laser Tightening, Liposuction?

you are i nneed of more volume and skin tightening. I suggest consulting a facial sculpting expert who does a combination approach with long term improvement such as thermiRF combined with sculptra or fat injections to give you more improvement quickly as compared to a small amount of filler that isn't enough.  Best, Dr. Emer.

If someone like you walk into my office, I would suggest fillers to fill the depression lateral to the pouch and to make sure it gradually tapers off and you still maintain the nice skinny face without being chipmunkish...  I don't think injecting Voluma lifts anywhere else except for the tissue directly above where the Voluma is placed.  I typically don't recommend liposuction to the face because of potential irreparable surface irregularity.  At least hyaluronic acid fillers can easily be dissolved in a few hours.

Those small pouches by the side of your mouth are discrete subcutaneous fat collections. They can be reduced by microcannula liposuction done from an incision inside the corner of the mouth. I have seen these small fat collections treated successfully by small cannula liposuction numerous times.