Do I need Buccal fat removal? (photos)

Hi there! Buccal fat removal, if done correctly, is a very safe procedure. In office, we go through the mouth via a small incision and remove specifically the buccal fat pad. The instances of facial paralysis occur when surgeons move too far laterally and remove fat which is not that of the buccal pad. The results from removal can be quite nice. I often emphasize to my patients that the results are subtle - some shadowing near the mid-cheek and a better flow from cheek bones to jawline. I would not expect in your case to be hollowed or sunken. Meet with a facial plastic surgeon who performs buccal fat removal to learn more. Hope this helps you out!

Thank you for your question and for providing photos. If you are unsure about surgery, you may want to consider Botox for slenderizing the jawline. When injected into the masseter muscle, it reduces the size of the muscle to provide a slimming effect to the lower third portion of the face.
Results from Botox generally last 3-4 months. I recommend scheduling an in-person consultation with an experienced, injector who can assess your concerns and aesthetic goals and help you decide on the best course of action.

It would be extremely challenging to get facial nerve palsy with buccal fat reduction as long as it's done right. The key with buccal fat reduction is to not remove too much to prevent hollowing of face. It's a fenace but almost all patients are happy with the final outcome