Inferior jowl fat removal and which fat pad of the cheek to remove? (photos)

I have had buccal fat pad removal twice, with the second time (8 months ago) being the most successful (quarter size fat pad removed). however, I have always had this jowl fat pad that I am contemplating removing. What fat pads can or should be excised in this case to avoid fullness in the jowls? would liposuction of superficial fat be better?

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