Is bichectomy appropriate for older patients? (Photo)

Buccal fat removal is a cosmetic plastic surgery procedure to make the face thinner by decreasing the fullness of the lower ANTERIOR cheeks.  This procedure does not address residual jowls post facelift nor the fullness of the lower POSTERIOR cheeks.When the fullness of the face is caused by chubbiness of the lower POSTERIOR cheeks, usually botox to the masetter is the procedure of choice so shrink that area. 

Treatment of ‘chubby cheeks’ cannot be achieved alone with buccal fat pad removal; a fact that I encounter time and time again when seeing patients in consultation for lower facial sculpting. My approach is to use a combined protocol that redefines aesthetic contours of the face. This includes the following: 
  
Buccal Fat Pad Removal Non-surgical Muscle-Fascia Tightening Venus Legacy or Venus Viva Ultherapy Submental Liposuction or Coolsculpting   
The combined approach is ideal. Buccal fat pad removal is a exceptional procedure that can remove excess fat from the cheek pads. Using an intraoral approach, a small incision is carried through the mucosa to remove a small fat pad within the cheek. Closure of the incisions is minimal with an absorbable suture and patients will experience some swelling post-operatively. We use SwellX tablets post treatment. Once healed, the contour of the cheek is improved and we begin Non-invasive tissue tightening to further enhance results. 
  
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

First off, I agree with the elder statemen's opinions below that you are not a candidate for buccal fat removal based upon the shape and contour of your face.
That being said, for others reading this, buccal fat removal can ABOSULTELY be performed in older individuals. It is often done in conjunction with a facelift which is why it is shocking to me to hear so many other surgeon's say that it will make you look aged.