Masseter reduction and buccal fat pad removal to help make my face more heart shape?

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 slim the jawline. 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 2015JoyfulMama,
It’s a pleasure to answer your questions! Based on your pictures, you seem to be a good candidate for buccal fat pad removal combined with Botox injections to masseter muscle, for a more sculpted facial appearance. Buccal fat removal, also known as buccal lipectomy, is a simple and very safe 1-hour face contouring procedure, indicated for patients with a rounded and wide face. The goal of buccal fat removal surgery is to thin the cheeks, specifically in the area of the cheek hollows, resulting in a harmonious middle and lower third of face. This procedure can be safely performed in-office, under local anesthesia with sedation. Downtime is typically 24-48 hours, which make this facial plastic surgery very convenient to my patients. I usually recommend combining buccal fat removal surgery with neurotoxin injections (Botox, Dysport or Xeomin) to masseter muscle to achieve slimmer, more contoured cheeks plus a chiseled jaw line. Injecting botulinum toxin into the masseter muscle is an excellent and safe nonsurgical option to reduce the size of the muscle, resulting in a desirable heart shaped face. Consult with an experienced plastic surgeon to assess your candidacy for buccal fat removal and Botox injections and discuss your specific needs and cosmetic goals. Best wishes! Dr. De La Cruz.