Is a face lift required for thick skin patients after buccal fat removal?

Hello and thank you for your question. In order to accurately answer your question, an in-person consultation would be very helpful.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Buccal fat pad should only be performed on patients with full chubby cheeks.  In these patients, removal of the buccal fat pad will result in more angulation and definition in the cheek area.  There will not be excess or hanging skin.If buccal fat is removed on thinner patients, it can create a hallow appearance.  This can contribute to the appearance of loose skin.  Likely, these patients should not of had the procedure.  Patients that are good candidates for buccal fat removal should not require a facelift. I hope this helps.  

Not necessarily.  Buccal fat removal is a specific procedure to address excess fat that causes an unwanted bulge in the lower face. Often it is seen and diagnosed after a face lift where once the skin and soft tissue is lifted there remains an area of excess volume in the cheek.  If the buccal fat excess is diagnosed prior to a face lift and removal is performed and there is not a significant amount of skin excess or laxity then a face lift is not necessary.