Thank you for your question. Assuming the procedure is performed by an experienced facial plastic surgeon and the correct amount of the fat pad is removed, the results should provide the desired contour without affecting the skin or the aging process. A buccal lipectomy, or buccal fat pad removal, is an ideal procedure for improving cheek and jawline definition while reducing a rounded appearance in the lower part of the face. Since buccal fat tissue is not regrown, the results of this fat pad removal are permanent. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can answer any question you may have.