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26, female, heavy lower face/jowls, am I candidate for buccal fat removal? (Photos)

YuYu30Nov 27, 2023
I am a 26F and I've always struggled with a heavy lower face/jowl area. I have a pretty flat face with low cheekbones and the only structure I have is my jaw. However, I have this excess fat/skin in the bottom half of my face that is quite prominent. I have tied masseter box, cheek filler, Morpheus, weight loss to reduce this part of my face but no luck. If I take my fingers and pull the skin my skin back, I see my desired results. I really want to discuss a more permanent solution.

Answers (2)

From board-certified doctors and trusted medical professionals
Timothy Osborn, MD profile photo
Dr. Timothy Osborn, MD
Board Certified Oral & Maxillofacial Surgeon
4.8 | 30 Reviews
Answered on Dec 7, 2023
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Jeffrey H. Spiegel, MD profile photo
Dr. Jeffrey H. Spiegel, MD
Board Certified Facial Plastic Surgeon, Board Certified in Otolaryngology – Head and Neck Surgery
4.8 | 383 Reviews
Answered on Nov 28, 2023
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Lexie Wang, MD

Hi sensible. The buccal fat and midface lift are both options for you although they will address different areas of your face, so I'm not sure which would be better for you based on your desires. The buccal fat will primarily address some of that lower fullness that you can see. Surgeons can and...

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Randal Haworth, MD, FACS

You are not a good candidate for buccal fat removal (you don’t have an excessive amount of fat there). It would make you look gaunt. I would just do filler and maybe a rhinoplasty to harmonize your face. Best of luck !

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Jose Telich, MD

Dear Caring603044, Thank you for your insightful question. The buccal fat pad encompasses a primary body located in the cheek area, accompanied by extensions reaching towards the temporal area and even extending towards the back of the jaw. During surgery, these extensions are typically not...

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Jacob Tower, MD

Hello, hope you are well. These are great questions! Generally speaking, removing buccal fat will not pre-dispose you to jowling in the future. Jowling is caused by laxity of the facial soft tissue envelope which is really independent from buccal fat volume. It can help substantially improve the...

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Jacob Tower, MD

Hello, hope you are well. The notable feature of your lower face is the prominence of your masseter muscles. (It is most apparent from the frontal view). This is not an issue of buccal fat excess, and if you undergo buccal fat removal it will accentuate your masseters even more. I would suggest...

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Michael P. Morrissette, DDS, FACS

The reduction of the buccal fat pads is indicated for people with round faces and you do not have a round face. Surgeons are not able to make changes to faces in animation like to photo that you marked in which you are smiling. The fullness that you have is more related to the bone structure...

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