What are these pockets of fat and how do I get rid of them? (photo)

Those are classic perioral mounds and are one of the best illustrations of them that I have seen. There are reduced by small cannula liposuction.

 Hi, from the photos these appear to be "pseudo jowls" which are a result of a very weak chin.  This makes sense as having true "jowls" would not be expected in a 22 year old face.  The lack of chin support allows these tissues to sag.  I have performed many Chin Augmentations using chin implants for over 30 years.  When the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. 





 I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.



Hope this helps.