Fat Removal or Weight Loss? (photo)

I have a saggy-looking face, with hooded eyelids and lots of fat on my lower face, even though the only other place I have much extra fat is my legs. I also have a bit of a double chin, but only when I turn my head certain ways. Would a buccal lipectomy be a good idea? Or would weight loss fix it? I am 21.

Doctor Answers 4

Facial fat removal

If you lose weight via diet, exercise etc. you lose body fat overall. You cannot control where the body will lose the fat so you cannot spot reduce fat that way. The only way to spot reduce is some type of liposuction.

Given your age your posted photo looks like the buccal fat has fallen downward over the lower jaw. If you can manually manipulate this fat back into the check the best way to get rid of it is via a small incision inside the mouth. If you cannot manually raise it I do not think you will be able to get it out that way. If the cause of this facial shape is enlarged masseter muscles you have to shrink the muscle and botox is a good option.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Fat Removal or Weight Loss?

Always best to try weight loss before any surgery, even if a minor operation. Seek in person consults before continuing. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Thinning Out The Face

Fuller faces, particularly in the lower half, are challenging to get a significant reduction. What can be changed are some fat collections which are limited as to how much can be removed. A buccal lipectomy actually only affects fullness right under the cheekbone not the whole way down to the mouth area. Small cannula liposuction can be beneficial for reduction of submental, perioral mound and lateral facial fat. A partial buccal lipectomy may also be useful. The question with these procedures is how significant a change they can create.

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon
4.7 out of 5 stars 72 reviews

Buccal fat pad removal?

Considering that you are 21, and our faces can thin out and lose fat as we age; I would consider optimizing your weight first prior to proceeding with any surgical procedure that is not reversible.  Buccal fat pad excision is performed more frequently in patients undergoing upper jaw surgery were surgical elevation of the jaws may cause excessive fullness in the cheeks. It is much less frequently performed in other situations.

William Loutfy, MD
Albuquerque Plastic Surgeon
4.7 out of 5 stars 20 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.