Do I need buccal fat removal, a lower face lift, or both? (Photo)

It is very limited information that these photos present! Jowls removal with fine liposuction, possibly neck lift is all what I could suggest. In person consultation with a board certified plastic surgeon would help. Good luck.

buccal fat removal will only thin your cheeks and could make the tissue laxity even more severe. Looking at your photos a facelift would be the procedure I'd recommend. If you reposition the soft tissues I doubt you'd need a buccal lipectomy.

Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and personalize plan please consult with your plastic surgeon in person.I would say a face/neck lift will definitely give you some improvement and a more defined jawline. Buccal fat removal might be in order but it is hard to tell if the fullness you are having is just jowls or buccal fat herniation , but that can be determined on exam. the pictures are not standard so can't say for sure , but you might also benefit from a chin implant to better proportion your features and potential dermabrasion or laser resurfacing especially in the chin and peri-oral region.I hope this helps, best of luck!

Based off these very limited photographs, do not need buccal fat pad removal. You appear to have a recessive chin, and significant loose and inelastic skin in your neck. A lower face and neck lift can accomplish lifting the jowls, tightening loose facial and neck, skin, and tightening loose facial and neck muscles, and fat removal in the neck, which also includes a platysma plasty to significantly improve your jawline. The recessive chin is best treated with a chin implant, which can be done at the same time

Based on your two posted photos without an virtual consultation in person consultation, I might recommend a minor BUCCAL fat removal with full face neck lift and muscle plication combined with Endo lift fee $15,000-$20,000. Best of virtual console with.