4 years post buccal fat removal and cheek liposuction - Should I get cheek liposuction again? (Photos)

Just based off your side profile is limited in our assessment for all the things you listed you want to correct - ideally need frontal views, other side profile, bird's eye, oblique views.. But let's try to assess what we can from the limited photos. The cheeks have some fullness (can benefit...

The realistic options 1-Revision submental liposuctionA secondary lipo can help refine the area again by reducing the remaining fat layer. It can create a cleaner jawline, but because you’ve already had surgery, it’s important to keep expectations conservative. 2- Energy-based tightening (RF or ...

The deformity looks like a mound, a micro liposuction with surgical net should be a good option to resolve the issue

It does not appear that reduction of buccal fat would make much of a difference in your profile. However, liposuction of the neck and jowls with skin tightening (ultrasound, radiofrequency, J plasma) would create desired improvement. Good luck.

Assuming you are talking the slightly softer mound/bulge that is just above your lip but under your nasolabial fold, I wouldn't be 100% sure that that is NOT filler because that blueish/grayish hue and soft appearance is classic for filler and also one does not naturally have fat in this...

You may be a candidate for buccal fat pad reduction and/or lower facial liposuction to improve contour and definition. This can only affect your non-smiling face and will not change the amount of fullness when you smile. Surgery has minimal effect on dynamic changes of the face when people animate.