Removal of Lower Cheek Fat?

Without photos it is difficult to say. However you will need the cheek fat as you age so don't remove it.

It is impossible to give you my complete recommendation with photos and even examination; however it many patients of mine that complain of "fullness" in the cheek areas; buccal fat excision is warranted and people do extremely well with this simple surgical procedure.  In someone with a more "round" or "full" face, it can give a more subtle "heart shaped" or "angled" appearance and actually "highlight" the cheekbone area where we want fullness and volume.  The procedure can be done in the office or in surgery.  It involves a small incision inside the mouth and takes about half an hour to perform. 

Other things that would be important to know such as possible weight loss and aging would give some idea as to where the "cheek has fallen" or how much malar ptosis you have.  The solution to this problem is lift, either full face lift or short scar cheek lift.  Sometimes this is done in conjunction with buccal fat removal.  There are some times I do very minimal careful liposuction along the jawline but not really into the cheek proper.  I hope this helps!

Sincerely,

James F. Boynton, M.D., F.A.C.S.

As a general rule, we do not recommend removing any fat in the face since this will accelerate the aging process. If there is loose skin, one can undergo a face/neck lift with repositioning of the jowls and lower cheek fat. Sometimes one cheek is looser than the other and this can be adjusted at the time of the surgery.  

Without photos and a better description it is difficult to say what can be done. Cheek fat is not usually removed.  Buccal fat can migrate to the lower lateral perioral region, but lower face is usually jowls.

It's hard to say without seeing you, but typically lower cheek fat can be removed or contoured using microliposuction. True "buccal fat" starts at about the level of the upper teeth near the mouth and goes up and outwards from there. Most people have fullness lower than that from the jowl fat pad or sometimes farther to the side from the malar fat pad. 

Buccal fat can be surgically excised (cut out) and comes out quite easily. Other fat such as in the jowl area is better served with microliposuction - sucking the fat out through tiny long tubes called cannulas. It is possible to remove more from one side than the other iand this will help reduce your asymmetry.