Can a Buccal Fat Removal & Cheek Filler Be Done at Once?

Treatment of ‘chubby cheeks’ cannot be achieved alone with buccal fat pad removal; a fact that I encounter time and time again when seeing patients in consultation for lower facial sculpting. My approach is to use a combined protocol that redefines aesthetic contours of the face. This includes the following: 
  
Buccal Fat Pad Removal Non-surgical Muscle-Fascia Tightening Venus Legacy or Venus Viva Ultherapy Submental Liposuction or Coolsculpting   
The combined approach is ideal. Buccal fat pad removal is a exceptional procedure that can remove excess fat from the cheek pads. Using an intraoral approach, a small incision is carried through the mucosa to remove a small fat pad within the cheek. Closure of the incisions is minimal with an absorbable suture and patients will experience some swelling post-operatively. We use SwellX tablets post treatment. Once healed, the contour of the cheek is improved and we begin Non-invasive tissue tightening to further enhance results. 
  
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Yes, it is possible to undergo buccal fat removal and cheek fillers done at once.In my practice I routinely do cheek bone enhancement with fillers the same day I am doing buccal fat removal on the same patients. This allows the patient to achieve an excellent result of the buccal fat removal. Making the cheek bones more prominent help tremendously to achieve a more chiseled facial look with the buccal fat removal procedure.John Mesa, MDBuccal Fat Removal Specialist Plastic Surgeon 

Buccal fat removal is becoming more popular as patients with fat lower cheeks do not like that appearance. You can have too much fat, there!!! Remove the fat, then inject your cheeks

There is swelling post operatively following the buccal fat removal so to be precise the final injections should be 1-2 months post surgery. You can inject some at surgery.

Yes, both procedures can be performed simultaneously. We do not recommend buccal fat pad removal because  your face will naturally lose this fat anyway with the aging process. Buccal fat pad removal can accelerate this  aging process. The  cheek augmentation is  a permanent solution to augment the cheeks. It is performed  by insertion of a Silastic cheek implant. It is important to pick the correct size and shape depending upon the patient's anatomy. The implants are inserted through  an intra-oral incision under a brief general anesthesia. Expect approximately 2 weeks of swelling and bruising after the procedure.

I am not a fan of buccal fat pad removal. As we age we naturally loose volume in the midface (area of the buccal fat pad), adding age to the face. It is very important to keep this fullness in the midface, it is a sign of youth. If one removes this fat now, they without a doubt will most likely be replacing it years down the road.