Buccal fat removal - Is it possible there isn't any fat to extract?

Hello, thank you for your question. It is hard to tell without a physical examination. I recommend you to schedule a consultation with a board certified plastic surgeon.

I'm sorry to hear about your experience! If you are experiencing chubby cheeks, your surgeon most likely did not complete the incision in the ideal position to reach the fat pad that he was looking for. Another nonsurgical option to slim the cheeks and jaw is to inject botox into the masseter muscles, which will provide results for approximately 3-4 months. However, if you are still interested in completing the procedure, I would recommend you to complete additional consultations with multiple plastic surgeons. This way, they can assess your cheeks and create a treatment plan that will help you achieve your aesthetic goals. 
Best of luck!
Kian Karimi MD, FACS

The anatomy of the buccal fat is fairly consistent and should be present in every patient.  The correct pocket may not have been found and thus the fat may not have been found.  Although it does appear like a fairly simple and easy procedure, experience makes the world of difference in this surgery.  Placing the incision in the correct location and finding the appropriate planes should lead right to the buccal fat pad.