Am I a Candidate for a Buccal Fat Pad Trimming?

I am a 29 years old female and have 2 marionette folds on my chin. I've had them since I was a child but they're becoming more prominent with age and I really want to do something as I believe they giving me a 'bulldog cheeks' look. I've made several enquiries and mini facelift seems to be the best solution. I was also told about buccal fat pad trimming as an cheaper and less invasive alternative. Would you recommend it in my case and if not,- what in your opinion would be the best procedure?

Doctor Answers (8)

Buccal fat pad removal could be the key

+2

Dear Annabelle81,

 

Buccal fat pad removal when performed accurately will give the patient a slimmer and an ideal midface contour. Conservative approach in your case will help deal with "marionette" folds.

 

Nonetheless, I encourage you to have a physical examination with a surgeon of ample experience who will advise you on supplemental procedures to give you the ideal midface contour.

 

The main goal is to spare you from developing a hollow face as you age but at the same time to preserve your natural looks and enhance your facial beauty.

 

Thank you for your inquiry.

 

Dr. Sajjadian


Orange County Plastic Surgeon
5.0 out of 5 stars 121 reviews

Buccal Fat extraction is the answer, sort of....

+2

Based on your pictures and young age, you don't need much but what you need must be very targeted.  There is fullness in the cheeks, and with such a thin neck, it's not from obesity.  Buccal fat will help, but re-allocation of facial fat with fat transfer or dermal fillers will go along way.

Ritu Chopra, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 10 reviews

Reducing fat in the cheeks

+2

Buccal fat pad reduction is a useful procedure for the right patient. It can achieve a more sculpted look for the middle third of the face. It is recommended for patients with a very full cheek look to start with. It is not, however, a substitute for a facelift nor mini-facelift. 

It is important that you match the procedure to your goals and needs. Buccal fat pad reduction is specifically for thinning the cheeks right below the cheek bone. It will do nothing for jowls nor the lines you don't like on your face. A mini-facelift would be the minimum needed to address that area. One procedure really does not impact the other. I certainly would not choose one as an alternative to the other. They do different things.

I hope this info helps!

Adam Rubinstein, MD
Miami Plastic Surgeon
5.0 out of 5 stars 10 reviews

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Buccal Fat Pad Removal

+2

Buccal fat Pad Removal is a "C" grade procedure in most cases because it leads to a hollowed look that ages poorly. You would be better advised to seek other options.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 35 reviews

Am I a Candidate for a Buccal Fat Pad Trimming?

+2

Regarding: "Am I a Candidate for a Buccal Fat Pad Trimming?
I am a 29 years old female and have 2 marionette folds on my chin. I've had them since I was a child but they're becoming more prominent with age and I really want to do something as I believe they giving me a 'bulldog cheeks' look. I've made several enquiries and mini facelift seems to be the best solution. I was also told about buccal fat pad trimming as an cheaper and less invasive alternative. Would you recommend it in my case and if not,- what in your opinion would be the best procedure
?"

Removing the Buccal Fat Pad (of Bichat) is NOT a substitute for a Facelift. It is a procedure that MAY be suitable in moon faced individuals but it is a rather poor operation with permanent deleterious long term consequences. The youthful face is FULL of volume, operations which remove volume cause premature aging. This procedure often leads to a "sucked in" appearance as is seen in the elderly with exposure of the malar bone. I would advise you to research this very carefully. It may be a very serious mistake for you.

Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 62 reviews

Buccal fat removal

+1

Buccal fat pad removal is where a surgeon, typically from an inside the mouth approach, removes a specific encapsulated area of fat located in the cheek.  The goal is to contour the face and avoid bottom heaviness and emphasize cheekbones.

It is very difficult to ascertain if a patient is a good candiate for buccal fat removal based on a photograph.  Patients must be selected properly for buccal fat pad removal, as chosing an inappropriate candidate can lead to a premature gaunt look in the face.

Critera to see if candidate for buccal fat pad removal:

1.  Family history of "full" faces-  Families with full faces who age with full faces are likely to benefit from buccal fat removal.  Families whose fuller faces eventually turn gaunt should avoid this procedure
2.  Buccal fat excess-  There are multiple fat pads in the face.  The key is to determine if buccal fat pad removal is beneficial

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 71 reviews

Buccal fat pad reduction?

+1

Buccal fat pad reduction is a procedure that is not commonly performed but can make sense in the right patient.  It is important to understand the anatomy before undergoing the surgery so that you are well informed.  Normal aging reduces the buccal fat pad volume.  It is true that some people have more volume in their cheeks than others.  However, it is also universally true that that volume will decrease and descend over time.  Removing too much buccal fat can cause premature aging.  It is also important to remember that replacing fat that has been removed is extraordinarily difficult if not impossible.  The main reason is the location of the buccal fat pad.  It usually resides underneath a large muscle that is responsible for majority of the power motions of your chewing.  Once that fat is removed that space collapses.  Once collapsed it is very difficult to find the exact space and to reinsert a substance such as a filler or better yet fat.  One potential solution is to use something like Sculptra.  While I generally do not advocate buccal fat pad removal, I understand why somewhat would want procedures such as this.  I tried to choose my patients very carefully and I also tried to be conservative in the amount of fat that is removed.  Surgeons who trivialized this procedure simply don’t understand how difficult it is to correct deformities that may occur.  The cost of the procedure can run anywhere from $3000-$7000, depending upon your geographic locale.  Please visit with an experienced board certified plastic surgeon.  My best advice is to always be conservative with any buccal fat pad reduction.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.0 out of 5 stars 15 reviews

Buccal fat removal for chubby cheeks

+1

Conservative buccal fat excision would help you out.  The key is not to remove too much buccal fat.  You are probably too young for a facelift of any type.  You may also benefit from a conservative amount of under chin and neck liposuction.  In summary, go for a conservative amount of buccal removal and neck liposuction, wait 4-6 months and then analyze for face. 

A. John Vartanian, MD
Glendale Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.