Who does buccal fat removal with local anesthesia? (Photo)

You are a good candidate for both procedures

BFPR (Buccal Fat Pad Removal)
When
a patient has a full and round face and despite weight loss the
fullness persist or if the patient is in his normal weight and the
chipmunk faces has stayed all the time, a bichectomy or buccal fat pad
removal is useful. It´s true that with aging the buccal fat pad tends to
diminish in volume do to atrophy, but if the volume is excessive a
bichectomy will not hollow the cheek overtime. Many patients are happy
with the results, a proper selection is a very important manner. Usually
the procedure takes less than 10 min and you can go homethe same day.
You'll be able to go back to work on the 3rd day post-op but 1 week off
would be more comfortable. 
Submental liposuction or chin lipo

Is also done also in an office setting procedure, usually right after buccal fat pad removal. As in
regular
body liposuction, chin lipo involves removing the excess fat that gives
the double chin appearance. Through a small stab incision in the
submental crease a small cannula is used to infiltrate tumescent fluid
(numbing solution) to prepare the fatfor aspiration. This is the
uncomfortable part of the procedure, but it´s well tolerated by the
patient. After the infiltrated area gets numb, the liposuction with
aspiration is done. The amount of fat aspirated ranges 75-1200 cc, it
varies from each person´s fatty deposits.The whole process lasts and
average of 20 minutes. After the procedure is done a compression garment
is placed (chin garment). The garment´s main purpose is to limit
swelling and also to prevent skin sagging by attaching the skin back to
the necks surface closing the gap made with
the submental fat
aspiration. Candidates are patients with a double chinwith good skin
elasticity and quality, with an average age of 40. If these factors are
present: extra skin, poor elasticity, lax muscles,
loss of depth and
youthful angularity, you would be better served by a neck lift. The
potential complications from submental liposuction: undesirable result,
contour irregularities, asymmetry, dimpling or puckering of skin,
sagging, marginal mandibular nerve damage (very rare). For the final
results remember that liposuction takes time for the skin to settle. The
skin will continue to tighten over time and so you will get some
immediate benefit, but the real benefit comes weeks or months later.
Liposuction is limited by the structure you are born withsuch as the
mandible and hyoid bone. Your result is not permanent, if you gain
weight then you may regain fullness in your neck

Thank you for your question. I typically perform this procedure using local anesthesia in my office. The procedure takes 20 minutes and there is minimal discomfort. Best of luck. 

Hi kkincaid96, Thank you for the question. I routinely perform this procedure under local anesthesia. It is well tolerated and people appreciate not having to go under anesthesia. Please let us know if you have any other questions or concerns!

In my practice I routinely perform buccal fat removal under local anesthesia.I do awake pure local anesthesia ( with xylocaine only) and WITHOUT any oral sedation, IV sedation or ttwilight sedation. In that way my patients can come get their procedure done alone either driving themselves, or using public transportation (bus, subway, train, Uber, etc). The video link below shows how I do the buccal fat removal under local anesthesia.