What procedure(s) is advised to correct buccal fat pad removal?

As patients that have undergone buccal fat removal age, they could have changes in their face that may look the face more hollow and less attractive/youthfull. This is secondary to descend of the mid face, loose of facial soft tissue volume and decreased skin elasticity.
In my practice when patients present with the above physical findings and would like to improve the face, the following plastic surgery treatments are recommended:
-Hollowing of the cheeks: filling with fat transfer or hyaluronic acid based fillers
-Midface descend: Cheek bone augmentation with hyaluronic acid based fillers (like voluma)
-Loose skin: Skin tightening with minimal downtime Fractora radio frequency skin tightening

Either filler injections or fat transfer can replace the buccal fat that was removed eight years ago. I prefer dermal fillers as they are smooth and predictable and last up to two years. Fat transfer can possibly give you more longevity but is more complicated to perform and can heal unpredictably. Best.Stephen Weber MD, FACSDenver Facial Plastic Surgeon