Two things you will see me write on and lecture on are "volume in the right place" and "Peaks and Valleys for shadows and curves".
Buccal fat pad sculpting, "Cheekago" in my hands, can really make a difference if done correctly and combined with some other sharpening procedures for sculpting...
These small fat pouches can occur after buccal fat pad removal. The fat is more superficial. Also the skin of the cheeks is starting to come down causing early jowl formation. This is due to time and gravity. Micro liposuction of the pouches may help. Hover the skin may still sag. Another option...
In patients with fully volumized faces, there are no long term effects of slimming the lower portion of the face with buccal fat pad reduction. When there is no break or Ogee curve, the buccal fat reduction can provide that curve which is usually seen in a youthful face. I think you are a...