It would probably be ill advised to consider removing fat from the upper cheeks since this contributes to a more triangular shaping of facial configuration. Lower in the cheek the buccal fat pad can easily be removed through the mouth to highlight your cheekbones and give a more sculpted look to your face equivalent to having lost several pounds of weight and its effect on your face. Sometimes people who need this also benefit from liposuction of the upper neck/chin region to improve their profile. If you can post photographs it would be useful. Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)Beverly Hills, California