Why don't more doctors perform fat grafting to anatomical buccal space?

Start with masseter botox to slim the outermost part of your jaw. It's easier, reversible, and may give you the result you're looking for. Would not recommend a facelift at this point,

When patients in their early 30s experience facial sagging, particularly in the jowl area and a slight downturn of the mouth, it could be due to multiple factors. The fullness in the lower anterior cheeks contributing to jowls could be related to enlarged buccal fat pads, while the downturn of...

Buccal fat removal will only thin your cheeks and could make the tissue laxity even more severe. Looking at your photos a facelift would be the procedure I'd recommend. If you reposition the soft tissues I doubt you'd need a buccal lipectomy.

I don't believe that you are a good candidate for buccal fat pad reduction. The fullness of your lower face is due to the angle of your jaws and massater muscle. I would recommend facial re-shaping with a reduction of the angles of the mandible and submalar cheek implants to add fullness to the...

Yola re good candidate for buccal removal plus neck and face lift with permanent treads. Buccal fat removal will give a good contour on lower cheeks; lifting the neck will deepen the chin angle

Based on your photos I do think you would benefit from a conservative buccal fat pad removal procedure. This would improve the aesthetic appearance of your cheeks and likely make you feel like your lower face is lighter/more contoured. Find a qualified surgeon in your area and do a consult first!