Am I a good candidate for buccal fat removal or masseter botox? (Photo)

Question

I have always had chubby cheeks despite being pretty thin. I'm 6'1 180 pounds and don't carry a lot of body fat, but my jowls are very prominent. Would either masseter botox or buccal fat removal be suitable options for me?

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. Botox injections and buccal fat removal are viable options for reducing fullness in the lower third portion of the face. When Botox is injected into the masseter muscle, its size is reduced to provide a slimming effect that can last for 3-4 months. Buccal fat pad removal can reduce fullness in the area between the cheek and jawline to create a more defined and contoured appearance. Since buccal fat tissue is not regrown, the results of this fat pad removal are permanent. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your concerns and aesthetic goals with you to help you decide on the best treatment option.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Buccal fat removal may be a great option for you. The procedure is done via small incisions inside of the cheek. The fat pad - which is described as the size of a walnut - is removed. Compression helps to reduce the dead space leading to improved contour from the cheek bones to the jawline. It's important to remember that the results are subtle and won't mimic sucking on a straw, per se. Masseter Botox can be effective but I would likely point you toward the buccal fat as a better option. Hope this helps!

Am I a good candidate for buccal fat removal or masseter botox? (Photo)

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Am I a good candidate for buccal fat removal or masseter botox? (Photo)

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Everything you need to know about Buccal Fat Removal

Our mission is to create a world where every investment in modern beauty is Worth It.