Buccal fat removal, chin liposuction or both? (Photo)

Buccal fat removal is a plastic surgery procedure that removes the fullness of the anterior lower cheeks ( chipmunk cheeks) thus making a round face to become more slimmer ( V-shape like).Hoever, buccal fat removal is not the only solution not address a chipmunk face look. In certain patients with small chin, a chin augmentation with either soft tissue fillers like voluma or chin implant is also indicated to balance the face and give a more angular look. Additionally, the projection of the cheek bones have to be analyzed and enhanced if necessary ( if cheek bones are not prominent).Patients interested in addressing a "chipmunk face look" should make a consultation with a Board Certified Plastic Surgeon specialized in plastic surgery procedures of the face to determine if buccal fat removal alone or with other procedures are an option for their physical findings. 

Buccal or Bichat's fat pad removal is a "myth", does not provide but a hollow cheek, without any facial reshaping; it is a widespread legend attributing to its removal "magic" and overhaul effects on the face, which are false.With that said, I understand your concerns about the missing facial balance in your face; you attribute this disbalance to a theoretical excessive and fatty / chubby cheeks, which is not really the cause; the underlying real cause of your facial disbalance is your microgenia, a very small chin in need, at least, of a bidimensional osseous augmentation (never ever chin implants or fillers, they don't produce such multidimensional effects and lead to serious problems), in order to augment its anterior projection but also its vertical size; just a mere sliding geniplasty wouldn't be but a partial correction of your problem.The under the chin area is flaccid due to the shortness of the attachment point of mouth-floor muscles to the short chin, once the osseous augmentation is applied on the chin your muscles under the chin and around the mouth and cheek do tighten up and fuly reshape.Seek the opinion and services of a surgeon expert in multidimensional geniplasties; in your case a two-dimensional augmentation. All done intraoral, no braces or disruption of jaw ramus required, quick and painless recovery.