Recommendation For Chubby Lower Cheeks For 25yo Female? (photo)

You have the type of face that has lower cheek fat and liposuction or buccal fat removal is not what I would do. You will need that fat in several years and you will look younger because of it. As you have found out you can always find someone to do it but you won't be happy. You could soften this with a chin-jowl implant to give your face better proportion.

One procedure that could be very helpful for lower cheek fullness reduction is liposuction of the perioral mounds. Buccal fat sits under the cheek bones and its removal will not help your location of fullness. What you describe as lower cheek fat is the lower cheek compartment opposite the mouth corners which is separate from the buccal fat pads. Liposuction from an incision inside the corner of the mouth can reduce fullness in this area.

Morning Halfasian,

I work primarily with the Asian face and I get this question all the time.  If it's the more oval shape or "upside down triangle" you're going for here's a couple of advantages you have that you should be aware of before you do anything:

A.  You have great position of your malar/cheek bones.  Good width, not to much volume.

B.  You have a nice shape to your chin.  The overall height and projection of it is okay.  Just a touch small which adds a bit to the cheek fullness but it's not much of a concern.

 

You're most effective options for this would be one of three things.  Some more involved and aggressive than others.  We'll go from least to most aggressive.

1.  Buccal fat and cheek lift under local with suspension.  This is done with sutures that anchor to the problem areas and hold them in position.  This has about 3 days down time and is reversible.  No tissue is removed and there is no real tissue dissection so will not have changed your facef for life.  Should last about 5 years or more.  It's a specific technique I've used in Thailand and brought here.  

2.  Buccal fat removal can be okay but it doesn't really change the position of the cheek tissue.  Also, you want to be conservative, very conservative. If too much is taken the initial look may be acceptable but you can look gaunt and hollow as you age, particularly since you're half Asian.

3.  Suspension with chin implant.  About a week of down time.  Little more dramatic effect and the look lasts much longer since your petite jaw line and chin is augmented very naturally and subtly, therefore camoflaging the buccal cheek even if it sags with age.

4.  Surgical cheek lift and suspension.  This is an open technique via your temporal hair area not that different from a facelift but with hidden incisions and only about 7 to 10 days down time.  Advantage?  Lasts a life time.

Hope that helped

Chase Lay, MD