Asymmetrical results on Buccal Fat Removal - what is a good solution? (photos)

Question

Hi. I am 35 y.o. and in December 2020 I had buccal fat removal. For esthetic purposes but also because I was constantly bitting my cheeks. At first everything was fine, but about 5 months ago one of the sides became much more hollow, and almost seems to have a hole in it. I don't know how common this. My doc's suggestion is to remove parte of the left fat on the side that is ok. Is this a good solution? Isn't it possible it will remain asymmetrical? Also, if I loose weight will this be worsened?

John Mesa, MD · Answer

A good solution for correcting asymmetrical results after buccal fat removal depends on the patient's concerns and physical findings. If asymmetry occurs after buccal fat removal, it means that one cheek may appear fuller while the other is more defined or chiseled. In this case, the patient must decide which appearance they prefer. If the patient favors the more defined side, the most common strategy to correct the asymmetry is to return and remove more buccal fat from the contralateral side if any buccal fat remains. However, if 100% or all the buccal fat was removed from both sides, there’s no reason to attempt further removal, as there would be nothing left. In these cases, a solution could be to reduce the definition of the more chiseled side.
Another important factor to consider is whether the patient has asymmetrical cheekboness. Often, when a patient detects asymmetry in their buccal fat removal results, it's because they had asymmetrical cheekbones to begin with, where the side that appears more chiseled may have higher cheekbones. Therefore, if asymmetrical cheekbones are present, their asymmetry might be addressed accordingly.
In conclusion, the patient should discuss with their plastic surgeon the potential causes of the asymmetry and make adjustments based on their preferences.
I hope this helps!
Sincerely,
John Mesa, MD Buccal Fat Removal Specialist Plastic Surgeon New York - New Jersey - Miami.

Asymmetrical results on Buccal Fat Removal - what is a good solution? (photos)

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Asymmetrical results on Buccal Fat Removal - what is a good solution? (photos)

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Everything you need to know about Buccal Fat Removal

Our mission is to create a world where every investment in modern beauty is Worth It.