Buccal fat removal, masseter reduction with Botox, or both? (Photo)

The lower cheek fullness is caused by two different areas of the cheek. The fullness of the ANTERIOR lower cheek is caused by the buccal fat removal .The fullness of the  POSTERIOR lower cheek is caused by the masseter muscle. Therefore to decrease the fullness of the lower cheek both treatment might be necessary.

Based on your photos, you appear to have strong masseter muscles. And due to this, Botox injections on your masster muscles can make your lower face slimmer. It is also possible that you can benefit from a buccal fat removal procedure in the way you want. It is best to consult a board certified facial plastic surgeon in person and discuss your options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

Buccal fat excision is an appropriate surgical procedure for patients that of overly full and wide cheek areas. In common terms, it is good for patients who have chipmunk cheeks. In reviewing your pictures, is difficult to tell if you're a good candidate because your cheek area is slightly full but not overly full. Botox can be used to slim the masseter. You are a patient that would need an in person consultation for a complete evaluation and explanation of the positives and negatives of these procedures in your situation. I hope this helps.

Hello, 
Thank you for your question, of course you'll need an evaluation, but judging by your pictures looks like you have a strong masseter muscle , and combination of  buccal fat removal and botox for the muscle would have a great outcome for you .

Best regards, 
Gabriel Calderón MD