Why does a 3-4 minute procedure to remove buccal pad fat using a local anesthesia cost so very much?

Thanks for your question! 
Buccal fat removal doesn't take 3-4 minutes. I don't know anyone who does it that fast and frankly- I don't think you'd want it done that fast. The procedure is relatively simple for a well trained facial surgeon but one that does carry risk. The incision must be made to avoid the stenson's duct which is the pipelline delivering saliva to the mouth from the parotid gland. The dissection can be tedious and must respect and not injure the buccal branch of the facial nerve. Lastly, symmetry is incredibly important so equal amounts of fat or close need to be removed from each side. 
Prices vary from surgeon to surgeon and that may be a touch high, but remember, often times you get what you pay for. 
Hope this helps and God Bless!
Dr. Robb

The cost of buccal fat removal varies among different factors. Location is one of the main contributing  influencing factors.Buccal fat removal  does NOT take just 3 to 4 minutes to be removed. It is a plastic surgery procedure that requires a trained surgeon to perform the procedure in a surgical facility or office surgery suit.  Cosmetic plastic surgery like buccal fat removal is an elective luxury, and luxury is never cheap.  It is like asking why a ferrari or a lamborghini cars are too expensive if like  a Ford or a Kia car, it takes the same time to make the car.