Is it possible that a thin person needs buccal fat removal? (photo)

Question

I am very thin guy, maybe even underweight but my cheeks look chubby. Could it be that I have excess fat in the face? or is it another issue?

John Mesa, MD · Answer

Thin patients who are young and have great cheek bones who would like to have a more chiseled  or V shaped facial look could benefit from buccal fat removal.Buccal fat removal in thin young patients (that usually have great skin elasticity) and also have good cheek bones, could achieve a more defined, chiseled, model-like facial appearance with buccal fat removal. The video below helps to understand who could be a candidate for buccal fat removal.

Omar Lazos, MD · Answer

When a patient has a full and round face and despite weight loss the fullness persist or if the patient is in his normal weight and the chipmunk faces has stayed all the time, a bichectomy or buccal fat pad removal is useful. It´s true that with aging the buccal fat pad tends to diminish in volume do to atrophy, but if the volume is excessive a bichectomy will not hollow the cheek overtime. Many patients are happy with the results, a proper selection is a very important manner. Usually the procedure takes less than 30 min and you can go homethe same day. You'll be able to go back to work on the 3rd day post-op but 1 week off would be more comfortable. Best regards

Raffy Karamanoukian, MD, FACS · Answer

Treatment of ‘chubby cheeks’ cannot be achieved alone with buccal fat pad removal; a fact that I encounter time and time again when seeing patients in consultation for lower facial sculpting. My approach is to use a combined protocol that redefines aesthetic contours of the face. This includes the following: 
  
 
  
Buccal Fat Pad Removal 
  Non-surgical Muscle-Fascia Tightening
  Venus Legacy or Venus Viva
  Ultherapy
  Submental Liposuction or Coolsculpting
   
  
The combined approach is ideal. Buccal fat pad removal is a exceptional procedure that can remove excess fat from the cheek pads. Using an intraoral approach, a small incision is carried through the mucosa to remove a small fat pad within the cheek. Closure of the incisions is minimal with an absorbable suture and patients will experience some swelling post-operatively. We use SwellX tablets post treatment. Once healed, the contour of the cheek is improved and we begin Non-invasive tissue tightening to further enhance results. 
  
 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Ali Gurlek, MD · Answer

Thanks for your question and Pictures
The buccal fat pad is a rounded mass of fat in the middle of your cheek. It’s located between facial muscles, in the hollow area beneath your cheekbone. The size of your buccal fat pads affects your face shape.
Everyone has buccal fat pads. However, the size of buccal fat pads can vary greatly.
If you have larger buccal fat pads, you might feel like your face is too round or full.
You can be a candidate for a Buccal Pad removal surgery.
Best of Luck

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