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To determine if buccal fat removal would look good or "ugly" in somebody is necessary to see at least a picture of the face. Without a picture it is impossible to do an assessment.
Facial anatomy and appearance depends of multiple factors including genetics ( heredity from parents), diet, excursice etc. Not always the face of a son/daugter is going to reflect the appearance of the parents.When patents have cheek fullness, but they are fit and their body fat content is...
There should be no loss of dimples with a buccal fat excision. A buccal fat excision is done from within the mouth and does not interfere with how the dimples are formed on the under-surface of the skin.
"Excess of fat" in the cheeks could be secondary to multiple causes like: in deed excess of fat in the face ( large buccal fat pad removal), large size masseter muscles (giving fullness in the cheeks close to the angle of the jaw) and or wide jaw bone ( that is being confused with "excess of...