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

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.

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.

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

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.  

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

Hi @Genuine1135 - Thanks for asking the question and submitting the pictures too!
Based on your complaints and the images I would start with Buccal Fat Pad Removal on both sides and  Masseter Botox. 
The best candidates for Buccal Fat Pad have an overall attractive facial appearance with nice high cheek bones but with chubby cheeks (also referred to as “chipmunk cheeks” by some people) that do not go away despite diet and exercise. This can cause you to look heavier in the face. 
The overall size of the buccal fat pad is a little smaller than a ping pong ball and removing it can make a big improvement. Removal of the Buccal Fat Pad in these patients can make the cheeks look less full and highlight the cheek bones giving a more sculpted facial appearance. 

Best of luck,
Dr. Karan Chopra
★★★★★
Minneapolis Plastic Surgeon
Face ⨀ Breast ⨀ Body Expert
Johns Hopkins Trained
Cosmetic Fellowship Trained

I would start first with soft tissue reduction approaches of buccal lipectomies and perioral liposuction with Botox to the masseter muscles.  Only thereafter consider v line surgery. See how much improvement comes initially with fat and muscle reductions.