Thank you for your question and photos. Buccal fat removal or Botox injections are both viable options for reducing fullness in the lower third portion of the face. Injecting Botox into the masseter muscle reduces its size and provides a slimming effect that can last for 3-4 months. During a buccal lipectomy, the buccal fat pad is removed to reduce fullness in the area between the cheek and jawline and create a more defined and contoured appearance. Buccal fat tissue is not regrown, so the results of this procedure are permanent. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or expert injector. They will be able to analyze your concern and determine which treatment option may be best to help you achieve your aesthetic goals.
