Buccal Fat Removal or Jowl Liposuction? AIso, Should I Consider Chin Implant? (photo)

Hello Hwalk,

 

Thank you for sharing your photographs.

 

Despite the over-sized black blocks over the photographs, it is possible to note that you may be a good candidate for jowl as well as premental (neck) liposuctions.

 

In general, facial contouring should be your main goal by preserving your natural facial features and enhancing your beauty.


Buccal fat pad removal is a delicate procedure and should only be considered in select candidates with "chipmunk" cheeks that are not prone to atrophy as age progresses.

 

I encourage you to seek a consultation with an extensively experienced surgeon to better guide you through the process of making your decision.

 

Best of Luck to you.

Dr. Sajjadian

Chubby cheeks usually run in families. Also they tend to never disappear as we age. Buccal fat removal is the plastic surgery procedure that permanently corrects chubby cheeks. It helps to achieve a chiseled thinner face. If a patient has undergone chin lipo and now has double chin, it is possible the patient would benefit from a secondary chin lipo if the accumulation of fat is underneath the chin skin, rather than underneath  the neck muscle. The video below helps to understand who could be a candidate for buccal fat removal. 
John Mesa, MDBuccal Fat Removal Specialist Plastic Surgeon 

You are a good candidate for laser liposuction (SmartLipo) of the neck, prejowl as well as contouring your cheeks.  Buccal fat pat excision alone will not give you an appreciable difference.

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.

I would suggest you be careful and not try to do too much here.  Your full face gives you a youthful look, something you are going to want back in 20 years.  Buccal fat removal will not do much for you.  Be very careful with liposuction on your face.  Maybe a small chin would help minimally.  I would consider repeating the neck lipo again, I think they were probably pretty conservative the first go around.
 

Since you are twenty seven you must keep into consideration that your face looses it's fullness as you get older, childbirth, weight gains and losses, and if you remove the buccal fat pad area you may have some unwanted hollowness in that area later down the road. Personally I think some liposuction and a small chin augmentation with a slight augmentation of the lips will put your profile in harmony. It is a bit difficult to see the overall picture with the blocking on the photograph. The chin implant will not be placed to actually elongate the face but will give more pronunciation to the chin and the profile will be in better balance. Best regards!