Bulky and Wide Face - Options? (photo)

The buccal fat shrinks with age just like fat in other areas of the face. The buccal fat pad descends with aging and becomes more visible as people age. I mainly remove buccal fat in heavier faces earlier in life. Having said that, I have had several older patients with repeated facelifts that...

Buccal fat doesn’t grow back. The result is permanent. Your results should last, unless you experience substantial weight gain or loss. Best thing to keep the best outcome is to maintain a healthy weight.

It is very likely that a combination of liposuction of mild jowls and correction of Marionette lines with filler or nano fat grafts would created desired improvement. In person consultation with a board certified plastic surgeon with experience in these procedures is recommended. Good luck.