Will buccal fat removal and chin lipo help me get a more chiseled face?

Male patients in the mid 30s or beyond who are interested in achieving a chiseled face may undergo several procedures to achieve the goal. Before  deciding what procedures are needed, it is necessary to understand what makes a masculine face chiseled. 
A chiseled male face has:
High prominent cheek bonesabsence of chubby cheeksNo saggy facial skin ( no oblique lines)Strong chinStrong jaw lineStrong angle of the jaw
Therefore, a plastic surgery procedure that only addresses one of these physical aspects won't be ale to deliver an overall facial face.
Men in their late 30s have already started to have have of facial sagging: decreased cheek bones and saggy skin,. They may have also chubby cheeks. Therefore in these cases it would be mandatory to start with enhancing the cheek bones to correct the signs of agin. Then buccal fat removal would be an option. Chin, Jaw line and jaw angle enhancement with fillers will complement the results.
The video below helps to understand who could be a candidate for buccal fat removal. 

Great question!  Depending on your goals, a buccal lipectomy can help improve your facial shape by shrinking down the lower cheek region.  By doing this, the jawline and the cheeks become more defined and contoured.  Another treatment to think about is Botox to the posterior jawline as this will also help slim the face from a more squared to a more oval appearance on the frontal views.  However, it is always best to have an in person consultation with a board certified plastic surgeon so that your goals are reviewed and the best treatment recommended.
Best of luck and hope this information helps!
- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

The bichectomy or buccal fat pad removal is a minimal invasive procedure that usually takes place in a doctor’s office (doesn´t take longer than 20 minutes). Removing this fat pad strategically gives a sharper, chiseled and more symmetric appearance. Good candidates are patients that despite losing weight or are in their normal weigh, the volume in their cheeks area is still prominent. Combining this with chin lipo has a very powerful result. This will improve your jawline making it look more chiseled. The procedure is highly bearable with local anesthesia which is injected inside the mouth at the level of the second upper molar. At this site a small puncture incision is made and it’s carefully dissected so that no neighboring structures (nerves or vessels) are damaged until the pad is found. Once the pad is found it is pulled to the oral cavity to remove it under direct vision, thus not harming any other structures. The incision heals by itself and closes by the 4-5 day, and no sutures are needed. Factors that influence results are: amount of buccal fat pad removed (average amount is 3 cc, the size of a chestnut), healing process, wound retraction, overall tissue (amount of facial muscle and skin). The results start to show after the swelling begins to fade away, usually at 1-month post op and the end results at 3 months postop. Search for a certified plastic surgeon to do this procedure that may seem not difficult but carries risks for complications. The most common complication although rare is hematoma that is related to efforts in the immediate 3 days postop. Hematoma is a self-limiting complication that besides the size of the swelling it always resolves (takes 1 week to get better). Other complications are: infection, facial nerve damage and salivary gland duct or Stenon duct.