Are these perioral mounds? How do I permanently get rid of them?

I can tell you that there are many different facial features and areas that can be addressed through various cosmetic procedures. Here are a few common ones:
1. Jowls: These are saggy skin around the jawline. Non-surgical treatments like fillers, Botox, or ultrasound therapy can be used, or surgical options like a facelift or neck lift.
2. Double Chin: This can be addressed with liposuction, or non-surgical treatments like Kybella, which is an injectable that destroys fat cells.
3. Cheekbones: If you feel your cheekbones aren't prominent enough, fillers or cheek implants can be considered.
4. Nasolabial Folds: These are the lines that run from the nose to the corners of the mouth. Fillers can be used to smooth them out.
5. Under Eye Bags or Hollows: These can be addressed with fillers, fat transfer, or lower eyelid surgery.
Please consult with a board-certified plastic surgeon or dermatologist who can examine you and discuss the best options based on your specific concerns and needs.

I have been treating people with this problem for decades. Most people develop them with aging. But, some young people seem to have a family trait predisposition for developing them early on. Uusally, this issue develops secondary to the loss of fat above and to the rear of the folds. So, it is possible that the buccal fat removal procedure aggravated this. Surgical removal runs the risk for the subsequent development of stretch scars and even tram track stitch marks. In the hands of skilled, experienced filler injector, however, an appropriately robust HA lifting filler, properly injected can help to elevate and straighten the folds with immediate, on-the-spot results. You would be wise to consult with a board certified cosmetic dermatologist filler expert. Best of luck.

Great series of posted photos. I recommend anterior mini face lift with aggressive SMAS plication will greatly imrive the peri oral mounds. Fee $5,000. Best to virtual consult with...