Is Buccal Fat Removal a risky procedure?

Thanks for your question. Buccal fat pad removal is a great operation when performed in properly selected patients and not just utilized haphazardly to create enhanced definition in a face. If your lower cheeks or submalar area (the area below your cheekbones themselves) are somewhat thin or narrow, taking out the buccal fat will highlight your cheekbones but possibly, with a trade off-that, could a gaunt, older looking face. 
In regards to it being a risky procedure, it is relatively low risk . To get more customized approach to your concerns, it is best  to have an in person consultation for a board certified plastic surgeon.

buccal fat pad reduction is done under local anesthesia or sedation, and is same day surgery.  You can expect a little bit of swelling around the cheeks for a few days, similar to wisdom teeth extraction.  a little soreness, but not much pain.  Most patients feel as though one week is about right for the amount of time they need to be off work, to be quite honest.  You could probably go to work earlier, but most agree and say they would have preferred to take a week just to feel more comfortable.  Best of luck! I hope some of this helps.