Should I get buccal fat removal, jaw Botox, or jawline surgery? (Photo)

Question

I’ve gained weight and I can see it clearly in my face. My cheeks are puffy and my face is not defined. When I turn to the side and smile, I just have an unflattering round/cube face shape (idk how to describe it) I unfortunately have a double chin now as well. I’m not sure which medical procedure I should do but I definitely want a slimmer/a bit more feminine face.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from Buccal fat removal, this is a good option to contour the face. Buccal fat excision can be done comfortably, awake, under local anesthesia in under an hour. The results are long lasting and the recover is quick. I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Omar Lazos, MD · Answer

You are an eligible candidate for buccal fat pad removal. Buccal fat pad removal is a minimal invasive procedure that usually takes place in a doctor’s office (doesn´t take longer than 20 minutes). Removing this fat pad strategically gives a sharper, chiseled and more symmetric appearance. Good candidates are patients that despite losing weight or are in their normal weigh, the volume in their cheeks area is still prominent. Combining this with chin lipo has a very powerful result. This will improve your jawline making it look more chiseled. The procedure is highly bearable with local anesthesia which is injected inside the mouth at the level of the second upper molar. At this site a small puncture incision is made and it’s carefully dissected so that no neighboring structures (nerves or vessels) are damaged until the pad is found. Once the pad is found it is pulled to the oral cavity to remove it under direct vision, thus not harming any other structures. The incision heals by itself and closes by the 4-5 day, and no sutures are needed. Factors that influence results are: amount of buccal fat pad removed (average amount is 3 cc, the size of a chestnut), healing process, wound retraction, overall tissue (amount of facial muscle and skin). The results start to show after the swelling begins to fade away, usually at 1-month post op and the end results at 3 months postop. Search for a certified plastic surgeon to do this procedure that may seem not difficult but carries risks for complications. The most common complication although rare is hematoma that is related to efforts in the immediate 3 days postop. Hematoma is a self-limiting complication that besides the size of the swelling it always resolves (takes 1 week to get better). Other complications are: infection, facial nerve damage and salivary gland duct or Stenon duct.

Michael P. Morrissette, DDS, FACS · Answer

Buccal fat pad reduction will create a slimmer face but the angles of your jaw are also wide. You might want to consider facial and jawline and neck liposuction done simultaneously. If further slimming is required, the angle of the jaws can be be reduced. Good luck

Sam Speron, MD, FACS · Answer

There are also several nonsurgical options to consider. Some can be done at the same time. Surgery combined with injections and laser treatments before or after surgery is usually the biggest difference.  For people not interested in surgery, Botox, hyaluronic acid injections and laser treatments are the most reasonable options, maybe combined with a chemical peel.These procedures can be done safely in the office and the results are often very satisfying. An in-office private consultation and examination with a board-certified plastic surgeon would be the best way to fully  address your specific concerns and determine the right treatment plan.I hope this helps answer your question.  If it does, please take a moment to up vote this answer on the “respond” button on the top right.

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

Should I get buccal fat removal, jaw Botox, or jawline surgery? (Photo)

Answers (7)

Answer: Surgical contouring is a great to get a slimmer face/cheeks/chin.

Answer: Surgical contouring is a great to get a slimmer face/cheeks/chin.

Answer: Buccal Pad

Answer: Buccal Pad

Recommended reading

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.

Should I get buccal fat removal, jaw Botox, or jawline surgery? (Photo)

Answers (7)

Answer: Surgical contouring is a great to get a slimmer face/cheeks/chin.

Answer: Surgical contouring is a great to get a slimmer face/cheeks/chin.

Answer: Buccal Pad

Answer: Buccal Pad

Browse related questions

Recommended reading

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.