Are these perioral mounds? Should I treat them with lipo or facelift? (Photo)

No, liposuction is too dangerous in that area and these areas are excess skin and not fat. Doing micro-needling with radiofrequency, like Secret, could be very helpful to tighten that area.

Hello; since you are 36 years old; Vaserlipo procedure will be sufficient. Even if you are older; because, the skin will not collect enough; it was necessary for adding Renuvion J Plasma technique.

Perioral mounds are poorly, understood, and difficult to treat. The primary underlying cause is typically facial bone structure.
This is a contour that is formed from a combination of underlying variables, including bone structure, tension from muscles of facial expression, and is not have a single underlying cause that is easy to treat.
Best,
Mats Hagstrom MD