Jowl Liposuction or Buccal Fat Removal to Reduce Cheek Fat? Doctor Answers, Tips
Buccal Fat Removal: Q&A
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Jowl Liposuction or Buccal Fat Removal to Reduce Cheek Fat?

Hi Doctors,

As I grew older and put on some weight, I noticed that my cheeks began to get bigger. I am considering some surgery but not sure if it buccal fat removal or jowl lipo.

I want a more tapered look and avoid looking like I have cotton in my mouth. Thanks.

16 Doctor Answers | Asked by chipmunck cheeks in Philippines
+4

Buccal fat pad or Jowl subcutaneous fat

From the picture it looks like buccal fat pad. This is a deeper fat that herniates to the jowl area. There is a simple test that you can do. Stand in front of a mirror. Using three fingers push the area of bulging in. Then let the pressure off. If it is buccal fat pad it will descend and recreate the bulging. if it is subcutaneous fat it will never disappear. One can't suction the buccal fat pad. It needs to be removed from inside your mouth. If it is the jowl fat it can be suctioned with a... more
+3

Buccal Fat Pad Removal Indicated Occasionally

The buccal fat pad can be removed to help define the cheekbones and decrease lower cheek volume in occasional patients.  I often like to see photographs of patients at their optimal weights to evaluate the actual shape of their lower faces.  In patients that have disproportionately full cheeks in younger photos are when thin, the removal of the buccal fat pad is a nice procedure to deliver more definition.  One has to be careful though, that facial fat is "expensive... more
+3

Jowl liposuction will help narrow your cheeks

Buccal fat pad removal has been usually disappointing as far as making any difference in the cheeks.  Liposuctioning of the jowls will help some and would be worth the $2000 under local anesthesia. Good Luck!

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+2

Is it Jowl Liposuction or Buccal Fat Pad Removal?

Hi Chipmunck cheeks, Thank you for sharing your concern along with a photograph. Jowl liposuction and Buccal fat pad removal are procedures of a delicate nature. So, it is highly recommended that you seek a consultation with an extensively experienced surgeon who can offer the best for you. According to the photograph you have generously shared, it looks like you could use buccal fat pad removal to establish the Ogee curve through a conservative... more
+2

Buccal fat pad removal or jowl liposuction

Buccal fat pad removal is the treatment of choice for those with fat pads that herniate outward and downward lateral to the oral commissures. Few people really need this. Jowl liposuction is not a good procedure since it creates irregular results. When the jowls become herniated down over the jowl line, a face/neck lift is the best option for that.
+2

Buccal fat removal vs. cheek fat removal

The question would be which area of fat is contributing to the look you do not like-the buccal fat or the cheek fat. Your surgeon should be able to get an idea about that at the time of examination. Whichever procedure you have or if you have both the most important thing is to be conservative and not overly aggressive. As we get older we lose facial fat so if too much fat is removed now when you get older you will look a lot older and regret the earlier surgery.
+1

Liposuction is probably a better answer.

Dear Chipmunk Buccal fat remove can be helpful to some individuals. However the trend has been to preserve fat and the deep fat of the face may be very important to the long term volume of the face. On the other hand facial Liposuction can be done judiciously to sculpt the jaw line as well as reduce the lower cheek volume. Bottom line: There is no substitute for a personal assessement with a straight forward cosmetic surgeon. Be careful what you look for because someone may offer it to you.... more
+1

Augment the cheeks to balance the face

Liposuction of the face or buccal fat pad excision needs to be performed with caution.  In your case it appears that your buccal fat pads are protruding but you may first consider evaluating your cheeks for augmentation.
+1

Treatment of cheek fat has several variables.

It does not look like you need any lifting procedures. Most patients like you see a surgeon who tells them what they want to hear. Buccal fat pad removal will not give you what you want. Also, liposuction(of whatever type) may give you irregularity and depressions. See an experienced facial surgeon who will give you an honest answer after examining your face.
+1

Cheek fullness

Is your condition related definitely to fat accumulation? Could it be a different problem such as masseteric hypertrophy? The latter is a condition where a muscle of the face becomes larger. Yours does look a little too forward for this condition but you should see a plastic surgeon for a consultation so this can be evaluated by an examination.
+1

Go to consultations for jowl liposuction or buccal fat removal

From the previous expert posters you can see the majority like buccal fat excision, others liposuction types and a few a combination. The best answer for you is go see 3 boarded plastic surgeons in person because from just a photo it is to difficult to give an accurate answers. Best of Luck!
+1

Jowl liposuction VS buccal (Bichat) fat pad removal

You do not appear to have significant facial drooping associated jowls. As such, there is no point in discussing liposuction of (nonexistent) jowls. I am not a great fan of Bichat fat pad removal; although it will taper the face, it also robs it of a more youthful look and may result in an early, more aged look with increased emphasis of the maxillary bones. Dr. P. Aldea
+1

Cheek fat

The area that you are concerned about may be amenable to buccal fat pad excision. Jowl fat is usually found a bit lower along the jawline.
+1

Acculift May Be the Answer to Unwanted Jowl and Cheek Fat

Hi Chip, You may be interested in looking into a procedure called Acculift (Lutronic) that uses fiberoptic laser assisted liposuction to precisely remove the "offending parties" of fat that are bothering you. Acculift is performed in office, under local anesthesia, and takes about one hour to perform. Good luck and be well. Dr. P
+1

Buccal fat removal vs. Cheek Lipo

You have correctly identified the two causes of fullness in the cheeks: Excess fat in the layer under the skin, and a large buccal fat pad (this is deeper in the cheek below the muscles). Unfortunately there is no way to tell which one is the issue without examining you. In general, buccal fat removal is not as commonly done as it used to be but it is still a useful procedure in the right patients. It is done from inside the mouth so there is no external scar.
+1

Buccal Fat Removal creates a more sculpted facial look

You seem to be a good candidate for buccal fat excsion. Being close to your ideal weight would also help. The procedure lessens the fullness in the cheeks and creates a more angular appearance to the jaw.
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