Am I a good candidate for Buccal fat removal? (Photos)

Question

I’m almost 35 and have some contouring features on my face; nevertheless it does not have the shape heart.

Raffy Karamanoukian, MD, FACS · Answer

Treatment of ‘chubby cheeks’ cannot be achieved alone with buccal fat pad removal; a fact that I encounter time and time again when seeing patients in consultation for lower facial sculpting. My approach is to use a combined protocol that redefines aesthetic contours of the face. This includes the following: 
  
 
  
Buccal Fat Pad Removal 
  Non-surgical Muscle-Fascia Tightening
  Venus Legacy or Venus Viva
  Ultherapy
  Submental Liposuction or Coolsculpting
   
  
The combined approach is ideal. Buccal fat pad removal is a exceptional procedure that can remove excess fat from the cheek pads. Using an intraoral approach, a small incision is carried through the mucosa to remove a small fat pad within the cheek. Closure of the incisions is minimal with an absorbable suture and patients will experience some swelling post-operatively. We use SwellX tablets post treatment. Once healed, the contour of the cheek is improved and we begin Non-invasive tissue tightening to further enhance results. 
  
 
  
Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jonathan Kulbersh, MD · Answer

Buccal fat excision is an appropriate surgical procedure for patients that of overly full and wide cheek areas. In common terms, it is good for patients who have chipmunk cheeks. In reviewing your pictures, it is difficult to tell if you're a good candidate because your cheek area is slightly full but not overly full. You are a patient that would need an in person consultation for a complete evaluation and explanation of the positives and negatives of this procedure in your situation. I hope this helps.

Nima Shemirani, MD · Answer

Dear appleslife,If you would like more contour to your cheeks, a conservative buccal fat removal would be appropriateYou can test out what a buccal fat pad reduction looks like by gently sucking in your cheeksYou do not have a lot of fat in your buccal areas, so it's best to see a board certified plastic surgeon to see if you're a candidate for the procedureBest,Dr Nima

Daniel Barrett, MD · Answer

Dear Appleslife,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

John Mesa, MD · Answer

Buccal fat removal is the plastic surgery procedure that corrects chubby cheeks and helps to achieve a more chiseled V shape facial look.In patients with minimal chubby cheek fullness it could help to achieve a more slender model like lower face look. Also it the patients has good cheek bones, it helps to make them more prominent.The video below helps to understand who could be a candidate for buccal fat removal

Thomas A. Narsete, MD (retired) · Answer

Thank you for your question on buccal fat pad resection. I can answer your question based on 35 years experience and many of these procedures. Looking at your pictures, you have a graceful contour between your cheekbone and you jawline. For this reason, buccal fat pad resection will not help here. As you age, expect some skin sagging in that specific area. You then could have a modified facelift. Get yourself a consult from a board certified plastic surgeon in your area. Have the doctor examine you and give you some choices for your treatment. All the best. Dr. T Narsete...Denver, Co

Warren J. Katz, MD (retired) · Answer

In your photos it does not appear that you have a great deal of buccal fat excess. I would recommend that you get an in person evaluation by an experienced, board certified facial surgeon. Demonstrating a realistic result should help you make an informed decision. Good luck.

Am I a good candidate for Buccal fat removal? (Photos)

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