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Patients who benefit from the removal of a portion of the buccal fat pads will not appear gaunt later in life. The fat pads are located below the cheeks and their removal produces a subtle change in the cheek contour. Patients that loose subcutaneous fat (beneath the skin) are more likely to need volume restoration later in life.
If you have a master hypertrophy it is better to have botox and buccal fat removal for a sharp V shape. If the patient has heavy face, low pressured Lipo can be performed to certain areas. Additionally adding some volume to chin may improve the results
Without in person or even virtual consult my guess is buccal fat removal with mini Face/Neck lift + SMAS plication, plus HA fillers or nano fat grafting to areas of face. Fees in $12,000-$20,000 ranges.
Buccal Fat Pad Removal does not affect your ability to chew... It's supposed to be shrunken down in adults anyway. We are only removing the EXCESS. There are 5 different lobes of the Buccal Fat Pad and during the facial slimming procedure we specifically target the lobe that makes your face look...