Buccal Fat Removal
This document gives a summary of buccal fat removal (cheek fat pad extraction): headings + essential information only, no external links or images.
What is Buccal Fat Removal?
- Procedure to thin the cheeks by removing the buccal fat pad in the hollow of the cheek.
- Some people feel their face is overly full—even when facial shape is otherwise balanced.
- Not recommended for those with naturally narrow or thin faces, because removal may lead to a gaunt appearance over time.
Candidates
- Individuals bothered by round or overly full cheeks.
- Good general health and realistic expectations.
- Facial fat fullness stable; ideal if weight is stable.
- Not ideal for those with very thin face structure or skin that already shows aging.
Cost
- Cost depends on surgeon, facility, geographic location, anesthesia, etc.
- Additional costs may include pre-op tests, recovery supplies, and postoperative care.
Consultation
- Discuss your goals: how much cheek fullness you want reduced.
- Review medical history, skin quality, face shape.
- Surgeon evaluates how much buccal fat can be safely removed without creating a hollowed look.
Questions to Ask
- How much fat will be removed—full pad, or partial?
- What anesthesia will be used?
- What scars or incisions are involved and where?
- What is the recovery timeline?
- What are possible risks or complications?
- How will results change with aging or weight changes?
Risks and Safety
- Anesthesia risks.
- Asymmetry between cheeks.
- Bleeding, infection or poor healing of incision.
- Damage to nerves or salivary ducts, with temporary or possibly permanent effects.
- Numbness or altered sensation of cheek area.
- Poor aesthetic result (e.g. removing too much fat, face looking hollow).
Preparation
- Medical evaluation and any lab tests as required.
- Avoid medications or supplements that increase bleeding risk.
- Stop smoking.
- Plan for postoperative care and time off, and arrange help if needed.
Procedure Steps
- Anesthesia is given (local or sedation).
- Small incision made inside the mouth of each cheek to access the fat pad.
- Fat pad identified, gently removed (full or partial depending on desired contour).
- Incisions closed with sutures (often dissolvable). Internal placement to hide visible scars.
Recovery
- Swelling and possibly bruising are expected; discomfort may occur.
- Soft diet or liquid food may be recommended initially to avoid irritation.
- Oral hygiene care is important to prevent infection.
- Most swelling subsides in the first few weeks; final results more evident over several months.
Results
- More defined cheeks, enhanced cheekbone visibility.
- Sculpted midface and refined facial contour.
- Results are largely permanent, though aging and weight changes affect overall appearance.
Choosing a Plastic Surgeon
- Select a board-certified plastic surgeon experienced in facial anatomy.
- Ensure surgical facility is accredited and follow-up/aftercare support is available.
- Review before/after images of similar cases to get a sense of outcome.

