Buccal fat removal, lift or Botox to masseter to slim my face?

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

Patients with fillers fo the lower cheeks (chubby cheeks) that become more prominent when smiling could be candidates for buccal fat removal. However it is important to know that buccal far removal only addresses the fullness of the lower ANTERIOR cheeks. In order to improve the fillers of the lower POSTERIOR cheek, Botox treatment of the masseter muscle might be necessary. 
The video below helps to understand who could be a candidate for buccal fat removal. It is important to know that the results of buccal fat removal depends on the cheek bones. If the cheek bones are weak, thus the face skin tends to sag in he lower face, specially around the mouth and jaw line. Buccal fat removal could make this physical finding worst if done without enhancing the cheek bones ( usually with fillers) 

Buccal fat removal and masseter reduction slim the face, but work in different areas of the face.  The buccal fat works along the central portion of the face (mimic by sucking in cheeks), while the masseter muscle slims along the angle of the jaw (feel by biting down along the jawline).  In your case buccal fat removal is more of a priority (based on photos) than masseter reduction. Key steps to consider:-make sure you are a good candidate- check your genetic history of fat loss and your current/ideal weight to see
-chose a facial expert- in experienced hands, buccal fat removal can be done efficiently in an office setting with minimal downtime.  buccal fat is surrounded by critical anatomical structures of the face- choose a facial expert.
Best Dr. Anil Shah