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

You have many options. It is all about fat (or volume) in the right places. In addition to cosmetic facial plastic surgery I do feminization procedures in the transgender population and it applies to all sexes and orientations really. The key is Hot is HOT! Buccal fat removal and/or manipulation can be a great and transformational procedure in the right patient.  Oftentimes fat transfer or filler injection in conjunction with this procedure is able to give a more “ideal” heart shaped face. This can make a significant difference in patients as a combo. We are able to create shadows and sharpness where you want it. It may seem counterintuitive to add fat when you say your problem is chubby cheeks but what we do is add volume to the highest and most projected point of the cheek bone and taper it to the lower face. This helps to create a shadow just under the malar area.  This is especially helpful in thin patients and in combination with buccal fat pad removal is a powerful maneuver. Liposuction of the jawline and sculpting is also helpful in some patients. It really depends on your specific anatomy. All of this can be done in clinic with some calming medications and local anesthesia.
I recommend getting a consult with a surgeon who does this procedure frequently to get a full facial analysis to make sure your specific goals are addressed.
Hope this helps.
Best of luck.
DrC

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.