Doctor Recommendations for Buccal Fat Removal with Local Anesthesia Only?

I live in California. So, I am looking for a Dr. that performs Buccal fat extraction with local anesthesia only. I saw it done before (youtube) and am really interested in getting this procedure done only with local anesthesia.

Doctor Answers 10

Buccal fat excision under local anesthesia

Dear Cheeka,

Buccal fat removal can be done under local anesthesia quite easily.  In fact, I just performed one last week and the patient was back to work the next day.  Basically, we numb the inside of your mouth, and through a 1/4 inch incision, we remove some the fat in buccal / inside cheek areas.  The whole procedure takes about an hour and once the area is numbed, the procedure is painless.  For more info you can contact our office in Los Angeles.  Hope that answers your question.

All the best, Dr. John Vartanian.

Glendale Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Buccal fat removal.

Your cheeks look fine the way they are and you will need that fat in your face to age well. You should not have this done as your face will thin with time.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Buccal fat pad reduction under local anesthesia

Thanks for your question. I find buccal fat pad reduction to be a great procedure in the properly selected patient. Fullness in the lower cheeks or "chipmunk cheeks" can be treated this way. Liposuction or skin tightening technologies will not be the right choice when buccal fullness is apparent. The buccal fat pad sits deeper in the lower cheek area under muscle. This is different from skin fat that can be liposuctioned. Proper diagnosis is important to understand how to treat. Also, this fat pad may get smaller when we are elderly possibly giving a hollow look in this area. Performed properly in the right patient buccal fat reduction is easily performed and gives a slimmer lower face that is difficult to achiever otherwise.

I normally perform Buccal fat pad removal under local anesthesia with or without oral valium for relaxation.  In experienced surgical hands, the patients can be numbed very well and make the procedure very comfortable.  If this is the only procedure you are getting then local anesthesia makes complete sense. 

I have many happy patients with this procedure. Careful selection and counseling are key. Results evolve nicely over a period of weeks to months. Please talk to an board certified surgeon experienced in buccal fat reduction to see if you are a candidate.

Raymond E. Lee, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 91 reviews

Buccal Fat Pad Removal with Local Anesthesia

I agree that buccal fat pad removal with local anesthesia is the superior technique for the vast majority of patients who desire this procedure.  

I prefer to remove the buccal fat pad in the office under local anesthesia with a minimal intraoral incision for the following reasons:

1.  Patients can see the buccal fat removed- Patients like to see the buccal fat removed as it is reassuring that the fat has actually been removed

2.  Quicker recovery than general anesthesia

3.  Local anesthesia is less cost prohibitive as well

4.  Able to tolerate foods earlier with less intraoral swelling

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 166 reviews

Local Anesthesia for Buccal Fat Pad Removal

Hi Cheeqs,


Let me start by thanking you for your inquiry.


Buccal fat pad removal when performed accurately will give the patient a slimmer and an ideal midface contour.


The best fitting candidates for buccal fat pad removal are the ones with chubby cheeks that will not be prone to atrophy with age progression. Suffering from a hollow face later on in life is not pleasant.


Therefore, I encourage you to seek a consultation with an extensively experienced surgeon to determine your options and to have a well informed decision.


Best of luck to you.

Dr. Sajjadian


Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 197 reviews

Buccal Fat Removal

Buccal fat removal can be performed under local anesthesia but patient selection is key to a successful procedure.  Consult with 2 - 3 surgeons in your area who performs the buccal fat removal procedure to determine if you are a candidate for the procedure before determining under what anesthetic the procedure should be performed.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 45 reviews

Buccal Fat Pad Removal Can Be Performed With Local Anesthesia.

Buccal fat pad excision can be performed easily in an office setting under local anesthesia.  I believe the surgeon performing this procedure should be experienced in the local anatomy.  A very small incision is placed above the second posterior molar inside the upper mouth, and the fat is easily teased and removed.  Care must be exercised to respect the surrounding structures, and bleeding is always a possibility.  I have seen surgeons become lost, turning a simple procedure into a misadventure.  Accordingly, if you have having this performed in an office, be sure to check whether it has been performed there before.
When evaluating you photographs, it is difficult to tell whether you are a good candidate, but I would tend to shy away from this option at this point.

Daniel Shapiro, MD
Scottsdale Plastic Surgeon
4.8 out of 5 stars 107 reviews

Buccal fat extraction

Buccal fat removal can easily be done under local anesthesia. It should be an equivalent experience to a dental extraction.

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon
4.4 out of 5 stars 35 reviews

Buccal fat pad excision with local

Buccal fat pad excision can be done with local.  It is certainly  more comfortable for the patient with some sedation.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Buccal Fat Pad Excision

Doctor Recommendations for Buccal Fat Removal with Local Anesthesia Only?
I live in California. So, I am looking for a Dr. that performs Buccal fat extraction with local anesthesia only. I saw it done before (youtube) and am really interested in getting this procedure done only with local anesthesia.

I prefer to perform the procedure in the operating room under local with sedation or under general, depending on the patient and how they would tolerate it.  It is more controlled, more comfortable for the patient and more safe in my opinion.  It is a minimal addition in cost but I feel the benefits are worth it.

Having said that, there are doctors that would do this under local as it is a quick procedures, and again there are doctors that will also do breast augmentation under local.  Not saying the two are comparable, but you can find what you are looking for as long as you look long enough.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 79 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.