Hello, and thank you for your question. A buccal lipectomy might be an ideal option for patients who have overly round cheeks that lack definition. Based on your photo, however, you don’t seem to have excessively large cheek fat pads. Only a personal evaluation can determine if you are a candidate for buccal fat removal. A surgeon can also explain the benefits and risks of any kind of procedure with you. Other less invasive procedures you can consider include Botox and dermal filler injections to give the face a non-surgical facelift, lasers, or RF microneedling (Profound RF or Virtue RF) to renew and tighten the skin. A combination of procedures can offer optimum results as well. The best way to determine the best approach to achieving your goals would be to schedule an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin, customize the best treatment plan, and ensure the best possible outcome.