Can micro liposuction get rid of my perioral mounds? (Photo)

Thank you for your question. I do not believe that liposuction will give you the improvement you are looking for and may make things worse by lowering the corners of your mouth or giving you additional hollowing of your cheeks. In fact, a bit of filler in the area or fat grafting may give you a much prettier result. Consult with an experienced board certified plastic surgeon to discuss minimal procedures that will accomplish minimal changes for you with minimal risk. Best of luck.

I don't think liposuction would help and could potential he make things worse.
It looks to me like if anything you have some loss of volume just behind the Area of concern.
For this I think you will definitely need an in person consultation to see what options could help.
Best,
Mats Hagstrom M.D.