Buccal fat removal creates a narrow and contoured face with more defined cheekbones. Also known as buccal lipectomy, this procedure shapes the face by extracting fat located in the lower cheeks. The size of this fat pad differs for everyone based on their genetics. For those with more prominent buccal fat, the face may appear rounder and fuller. The fat in this area is not amenable to liposuction, therefore direct excision is the most effective treatment.
Sometimes called cheek reduction, surgeons often pair this procedure with other treatments. Using liposuction on different areas of the face and neck, like the submental area, combined with this operation can give an even more contoured face. Buccal fat removal used alongside dermal fillers enhances the cheeks even further.
The procedure is not recommended for everyone. As we age, volume is naturally lost in the cheeks. Those with narrow faces, patients who suffer from Parry-Romberg syndrome and older patients are not suited for this treatment. It is also crucial for the surgeon not to remove too much fat during the procedure. Excessive removal can make the patient look gaunt and deflated in the cheek region.
A typical buccal fat removal procedure can take 30-60 minutes. It is usually done using local anesthetic injected into the cheeks. A tiny incision is made on the inside of the mouth where there will be no visible scars. Surgeons remove a small amount of fat through this incision. The area is then sutured using dissolvable stitches. Patients will need to wear a chin strap for support. Doctors will prescribe antibiotics and mouthwash to prevent infections.
Patients may experience some swelling and bruising over the next three weeks. This can make chewing and swallowing difficult. Switching to a liquid or soft food diet can help with these symptoms.
Results are permanent. The swelling may take several months to subside. It is imperative to choose a professional and skilled surgeon for this procedure. If not done correctly, buccal lipectomy could create an older and more aged appearance. Like most procedures, buccal fat removal also comes with risks. These can include infections, facial nerve damage and asymmetry.
