A Typically, buccal fat pad reduction is recommended in younger persons. As we age we lose volume in our faces. I tell all my buccal fat pad reduction patients that it will look good in your 20s and 30s, and you will probably benefit from strategic fat transfer back into areas of the face in your 40s and 50s+.
It isn't a big deal for you from a surgical standpoint-short, minimal pain, risk, recovery- but you might "miss" the fat in a few years.