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Is this buccal fat or premature jowls? (Photo)

Sarahbk
Is this buccal fat, loss of elasticity? Should I consider buccal fat pad removal or thread lift. I am only 29, I have always had a skinny kind of flat face but these « lumps » have always been here.

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Dr. John Mesa, MD
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Dr. Shitel Patel, MD
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Dr. Jonathan Kulbersh, MD
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