36F - always had an awkward deposit of fat in my lower cheek area. Would buccal fat removal be an option for me? (photos)

It does appear that the two areas of concern that you mentioned are in the area of buccal fat. There is a simple intraoral procedure that can be done to remove that area of fat through your mouth without a visible scar. Another option would be to add fat or volume to your upper face and cheek area as an alternative or in addition to removing buccal fat. Keep in mind you do not want to remove too much buccal fat as it can look sunken as you get older. I would recommend consultation with a board certified facial plastic surgeon in your area.

Thank you for posting your photos with your interesting question. You appear to have lower cheek fullness and also facial laxity, most likely due to a 50 pound weight loss. In addion to Buccal Fat removal, I would recommend a mini facelift which has a limited incision, which is well concealed, in front of your ear. This will effectively tighten the loose skin of your kower face and give you a more youthful appearance. It is more effective than Ulthera and fillers. The mini lift can be done with local anesthesia. Best wishes, Richard Wellington Swift, M.D., F.A.C.S.