Liposuction of Jowl and Buccal Fat Removal for More Facial Definition?

Buccal fat pad reduction can be an option to consider in carefully selected patients with prominent lower cheek fullness, or what some refer to as "chipmunk cheeks." It is difficult to be certain from your photo, but it does not look like you would be the ideal candidate for this procedure. In a young patient such as yourself, removing buccal fat can cause you to look prematurely aged as you get older and the remaining facial fat that you have shrinks and descends, as it does for everyone as the natural aging process progresses. Liposuction can be a great procedure to remove fat from the jowls and under the chin, but again this is likely not the procedure that would give you the facial definition and inverted triangle appearance that many find desirable. Instead, I would consider augmentation of the upper cheeks with fillers or implants, and possibly Botox to the masseter muscles that overlie the jaw in order to slim the lower portion of the face without permanently removing fat from an area that is essentially impossible to replace. 
Best wishes, 

Thanks for your question. I find buccal fat pad reduction to be a great procedure in the properly selected patient. Fullness in the lower cheeks or "chipmunk cheeks" can be treated this way to give a more defined lower face. Liposuction or skin tightening technologies will not be the right choice when buccal fullness is apparent. The buccal fat pad sits deeper in the lower cheek area under muscle. This is different from skin fat that can be liposuctioned or laser lipo'd. Proper diagnosis is important to understand how to treat. Also, this fat pad may get smaller when we are elderly possibly giving a hollow look in this area. Performed properly in the right patient buccal fat reduction is easily performed and gives a slimmer lower face that is difficult to achieve otherwise. I have many happy patients with this procedure. Careful selection and counseling are key. Results evolve nicely over a period of weeks to months. This is a safe procedure and can be performed under local anesthesia. Recovery is minimal. Please talk to a board certified surgeon experienced in buccal fat reduction to see if you are a candidate.

Hello Ukswiss,

 

Jowl Liposuction and Buccal Fat Pad Removal could run in parallel to provide the candidate with the "triangular" look you are seeking.

 

As we age, the buccal fat pads tend to atrophy with different degrees among people.

The key remains within a conservative approach when performing this delicate yet simple surgery.

 

Therefore, it is crucial that you seek consultation with an extensively experienced surgeon who will physically examine you and provide you with the best possible solution to enhance your facial features.

 

Many supplemental and/or alternative procedures could help your case to establish the Ogee curve hence the ideal midface contour.

 

Thank you for your inquiry and for posting your photograph.

 

Best of Luck to you.

Dr. Sajjadian