The area surrounded by the red lines in the picture includes not only the malar fat pads but also almost the entire midface and lower face. Malar fat pads are specific regions of the midface that contribute to facial volume and a youthful appearance. They are typically located close to the lower eyelid and do not extend beyond the lower aspect of the nose. Sometimes, people confuse bloated malar fat pads with a lack of cheekbones because this condition causes the soft tissues of the face to sag or fall, making the face look fuller and less youthful, especially in the lower part of the face. Removing malar fat pads is usually not the solution for this issue. In men, an attractive, chiseled face requires angularity, which is defined by a strong cheekbone appearance, along with a strong jaw and chin bone structure. Patients with a full, saggy lower face might consider enhancing their cheekbone appearance to address these symptoms and achieve a more defined and youthful look. I hope this helps! Sincerely, John Mesa, MDBuccal Fat Removal Specialist Plastic SurgeonNew York - New Jersey - Miami.