Hello estrellamaria, It’s a pleasure to answer your questions! Based on your picture and description, you seem to be a good candidate for buccal fat pad removal combined with NeckTite and Botox injections to masseter muscle, for a more sculpted facial appearance. Buccal fat pad removal, also known as bichectomy or check reduction, is a cosmetic procedure that removes excessive fat pads from the cheeks to create a more contoured and sculpted facial appearance. It is generally used to reduce chubby cheeks (“chipmunk cheeks”) that can be due to genetics or weight gain. This procedure can be safely performed in-office, under local anesthesia with sedation. Downtime is typically 24-48 hours, which make this facial plastic surgery very convenient to most patients. It’s also recommended combining buccal fat removal surgery with neurotoxin injections (Botox, Dysport or Xeomin) to masseter muscle to achieve slimmer, more contoured cheeks plus a chiseled jaw line. Injecting botulinum toxin into the masseter muscle is an excellent and safe nonsurgical option to reduce the size of the muscle, resulting in a desirable oval face. Furthermore, buccal fat removal may be combined with other aesthetic procedures, such as FaceTite and NeckTite, in which case the treatment time will be longer, depending on each patient’s particular needs and cosmetic goals. NeckTite is a minimally-invasive, advanced contouring device, FDA-approved and readily available nowadays. With NeckTite, patients who would prefer to avoid surgery and general anesthesia, can remove excess neck fat without leaving behind saggy, wrinkly skin. Using radio-frequency (RF) technology, the plastic surgeon places a small probe beneath the skin that heats the tissues causing them to contract and tighten. Consult with an experienced plastic surgeon to assess your candidacy for buccal fat removal, NeckTite and Botox injections and discuss your specific needs and cosmetic goals. Best wishes! Dr. De La Cruz.