Lost 80 lbs. in the last 2 years and still have lower face fullness. Am I a good candidate for Buccal Fat Removal? (Photos)

Question

I have lost 80lbs in the last 2 years and still have lower face fullness I do not like. I have always had it in varying degrees since my early 20’s even when I was very thin (117-120lbs). I am turning 40 next year and am concerned about it turning jowly. I am not interested in being very thin any more to try and control the facial fullness as now I have issues with platysmal banding at my neck is I get below 138lbs. Am I am good candidate for this procedure?

Lexie Wang, MD · Answer

I would not do buccal fat removal on you. In the last pic (the one of you not smiling), you can tell that you are already starting to hollow in the buccal region so to remove fat, you would only age your face and look more jowly as you would say.

Michael P. Morrissette, DDS, FACS · Answer

In two of the 3 photos, you are smiling, so that makes it difficult to give you a complete assessment. For the most part, surgeons can't effectively change your smile dynamics or the changes that occur when you smile. The treatment of jowls is best performed with a mini facelift, but if you have platysmal bands, then you may be a candidate for a lower face and necklift. You may also be a candidate for something as simple as lower facial liposuction without surgery. A lot depends on your expectations.

Darryl J. Blinski, MD · Answer

Based on your post photos and your detailed explanation, there are two issues of play here there is some buccal fat noted but more the laity of the skin in the lower face jawline neck. I would recommend a combination mini face necklace with muscle replication, Endo, laser treatment, buckle fat removal fee $15,000-$25,000. Best of virtual consult with.

Lost 80 lbs. in the last 2 years and still have lower face fullness. Am I a good candidate for Buccal Fat Removal? (Photos)

Answers (3)