Patients who are young and have a very puffy round face that makes them look underage or childish usually benefit from buccal fat removal. Buccal fat removal is a plastic surgery procedure that excises the buccal fat pads, which are deep pockets of fat on the lower anterior cheeks that cause the face to look round or chubby and, in certain people, childish. Patients who undergo buccal fat removal achieve a thinner, more sculpted face. In patients whose chubbyness causes the face to look childish, the procedure helps to achieve a more mature, attractive look without making them look aged or old, especially if they have high cheekbones. For example, if someone is 21 years old and looks 16 because of the chubbiness of the face, buccal fat removal will help them to achieve a look that is in synch with the chronological age, with a very attractive model or celebrity look. John Mesa, MD Buccal Fat Removal Specialist Plastic Surgeon New York, New Jersey, Miami