This is how you can prepare a QPixmap with rounded corners:
const QPixmap orig = QPixmap("path to your image");
// getting size if the original picture is not square
int size = qMax(orig.width(), orig.height());
// creating a new transparent pixmap with equal sides
QPixmap rounded = QPixmap(size, size);
rounded.fill(Qt::transparent);
// creating circle clip area
QPainterPath path;
path.addEllipse(rounded.rect());
QPainter painter(&rounded);
painter.setClipPath(path);
// filling rounded area if needed
painter.fillRect(rounded.rect(), Qt::black);
// getting offsets if the original picture is not square
int x = qAbs(orig.width() - size) / 2;
int y = qAbs(orig.height() - size) / 2;
painter.drawPixmap(x, y, orig.width(), orig.height(), orig);
Then you can use the resulting pixmap to set a QPushButton icon:
QPushButton *button = new QPushButton(this);
button->setText("My button");
button->setIcon(QIcon(rounded));
And of course you have a second option to use some image editor to prepare images with rounded corners beforehand.