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Do I need buccal fat removal? (Photo)

Dazzling1023Jun 15, 2024
I’m 29 years old and half of my face seems to have more laxity and muscle sagging than the other side with an annoying deep mouth corner line. I’ve had fillers in my cheeks, chin, and have previous had lip filler however had it removed to deal with this. Would bilateral buccal pad removal be the answer? I was also considering some kind of radiofrequency face tightening. Any advice or support will be appreciated greatly

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Dr. John Mesa, MD
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Answered on Jul 2, 2024
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Dr. Zachary Farhood, MD
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Caner Kacmaz, MD

We, as surgeons recommend to wait until after age 20 for buccal fat removal surgery because the fat pad continues to grow until our twenties. In some cases, buccal fat can also naturally reduce with age. Therefore, it’s advisable to wait until 20 years of age.

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John Mesa, MD

Young female patients in their early 20s with fullness in the lower anterior cheeks may mistake this for jowling, as it makes the face look heavy and the jawline undefined. Technically, jowling is an accumulation of skin and fat projecting below the jawline. At age 25, as seen in the pictures,...

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John Mesa, MD

Patients in their early 30s with enlarged cheeks causing a chubby appearance, especially during a smile, could benefit from buccal fat removal. Buccal fat removal eliminates the buccal fat pads, which are pockets of fat contributing to the fullness of the lower anterior face or a chubby smile,...

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