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

I am 26 years old and considering Liposuction of face and little buccal fat reduction (30% removal) done shortly. Would this give me good facial definition & triangular look?

Doctor Answers 10

Facial Liposuction

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 From your photo, you appear to be a good candidate for facial liposuction and possible buccal fat pad excision.  This is a great procedure for people with a poorly defined jawline and full lower cheeks.  Good luck.

Jowl and Buccal Fat Pad Removal at a young age

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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

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Buccal fat/facial fat removal for facial definition.

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I have been doing liposuction for 30 years and do not do it on patients in your age group for several reasons. It is very easy to get irregularities and there are minimal changes. I have seen many complications of this. As to buccal fat removal, I feel the changes are too minimal to justify the procedure. Remember also that some day you will want that extra fat in your face for volume.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Buccal Fat extraction and neck lipsuction to achieve a more triangular face

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Based on your photo I would not recommend either procedure.  As indicated Buccal fat extraction should onlybe performed on patients  with  signficant facial fullness.  Neck and jowel lipsuction can enhance definition along the jawline but im not sure you require this.  photos showing side view and three quarter views would give me a better idea of your current appearance.

Philip Solomon, MD, FRCS
Toronto Facial Plastic Surgeon
4.4 out of 5 stars 119 reviews

Liposuction does enhance the jawline

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Liposuction is good for the jawline/jowls and under the chin to give improved definition but buccal fad pad removal isn't done much anymore since it usually doesn't do anything and has more risks to it.

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Buccal Fat Removal does not Age Well

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I would encourage you to avoid procedures that will require a later fix. Buccal fat pad removal was performed with regularity in the past, but is applied very selectively these days for reasons other posters have mentioned. The procedure does not tend to age well, giving a patient a hollowed out, gaunt, "Freddy Mercury" look in the early to late 40's. Unlike Liposuction in the neck, standard Liposuction of the face can lead to streak marks, bumps,and contour irregularities that are very hard to fix.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.9 out of 5 stars 104 reviews

Reconsider Jowl Liposuction and Buccal Fat Removal

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I'm in full agreement with Dr Mayer, your age is a determent to this surgery. Please reconsider, especially the buccal fat pad removal. It is a very poorly thought of procedure.

Facial liposuction and buccal fat pad removal

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Although liposuction of the face and buccal fat pad removal might give you the triangular look you're trying to accomplish, keep in mind that you may regret your decision, while still young in your late forties when the sunken in cheeks worsen and you begin to look guant, ill and tired. People who have had such surgery twenty years ago are coming in now for fat injections, Sculptra, Radiesse or other fillers for volume augmentation.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Buccal fat pad reduction slims the lower face

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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.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 101 reviews

Buccal fat pad reduction to masaculinize

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Buccal fat pad reduction is a procedure that is not commonly performed but can make sense in the right patient.  It is important to understand the anatomy before undergoing the surgery so that you are well informed.  Normal aging reduces the buccal fat pad volume.  It is true that some people have more volume in their cheeks than others.  However, it is also universally true that that volume will decrease and descend over time.  Removing too much buccal fat can cause premature aging.  It is also important to remember that replacing fat that has been removed is extraordinarily difficult if not impossible.  The main reason is the location of the buccal fat pad.  It usually resides underneath a large muscle that is responsible for majority of the power motions of your chewing.  Once that fat is removed that space collapses.  Once collapsed it is very difficult to find the exact space and to reinsert a substance such as a filler or better yet fat.  One potential solution is to use something like Sculptra.  While I generally do not advocate buccal fat pad removal, I understand why somewhat would want procedures such as this.  I tried to choose my patients very carefully and I also tried to be conservative in the amount of fat that is removed.  Surgeons who trivialized this procedure simply don’t understand how difficult it is to correct deformities that may occur.  The cost of the procedure can run anywhere from $3000-$7000, depending upon your geographic locale.  Please visit with an experienced board certified plastic surgeon.  My best advice is to always be conservative with any buccal fat pad reduction.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.