Buccal Fat Pad Suspension?

Treatment of the jowl area during a face lift is a function of suspending the lower facial fat and sometimes resecting some of the lower facial fat.  This suspension is done with a SMAS lift.  The buccal fat is deep and superior to the fat that forms the jowl, and so a "buccal fat suspension" is unrelated to jowl improvement.  

With a definitive SMAS face lift and addressing the jowl with some fat resection, you should expect significant improvement.  This will be a kind of reset of your aging process, but the aging process and gravity will continue to take their tolls- eventually things will begin to drop again, though you will certainly look much better even at that time having had the surgery compared to if you don't.

    The buccal fat pad is a distinctive anatomic fat compartment located superior to the area involved in jowling.  A face and neck lift is necessary to anchor the underlying SMAS and remove loose skin to improve true jowling.

Gravity and the aging process will begin taking effect after this procedure has been performed.  We suspend the buccal fat pad at the time of the facelift surgery to raise the jowls.  If the patient has a flat maxilla or cheek area, then consideration for cheek implants should be made as it is a permanent which is a permanent solution to flat cheeks.  This can also be performed at the time of the surgery.