29F, 130lbs, 5'9, would buccal fat improve my lower face? Or what alternative? (Photos)

Based on these photos and without in-person evaluation, I do not think that you are a candidate for buccal fat removal. Hope this helps.

I don't believe that you are a candidate for buccal fat pad reduction. You appear to have wide mandibular angles and I would likely recommend facial slimming of the lower mandibles. Some patients achieve some degree of slimming with Botox injections but I prefer to slim the bone of the lower jaw.

Depending upon your exact area of concern it could be that you need masseter botox to narrow the muscle, or buccal fat removal. Both together may help.
These are quick office procedures in my practice. Look at our videos to learn more.