Have I been looking at the wrong area this whole time? Is this a malar fat issue vs buccal fat? (photos)

Thank you for your question and I appreciate that you are taking a proactive approach to preserving your youthful appearance. Based on your photos, it does appear that buccal fat pad removal might be an option for you, possibly combined with some cheek augmentation to produce the heart shape to your face that is considered most attractive. To rejuvenate skin, I offer treatments like laser peels and RF microneedling that stimulate the body to produce more collagen and restore a healthy glow. I recommend scheduling a consultation with an experienced, board-certified facial plastic surgeon who can assess you in person and create a customized treatment plan that meets your needs and goals best.

Thank you for your pictures and questions. You are only 21, so any concerns you have about "sagging" and "lines" are likely going to be met with a hearty laugh. That being said, every face ages and appears different, so it is important to have an in depth discussion with a plastic surgeon who is board certified by the American Board of Plastic Surgery to review your concerns and discuss possible treatments. In general, someone your age is going to be recommended less invasive treatments and procedures. Less is more! Buccal fat pad removal can be a good option for a patient your age if that truly is the area of concern and he or she is a good candidate. You may just need to review your skin care regimen or discuss some skin treatment options like RF microneedling (Morpheus8) to tighten skin and build collagen or consider some minor treatments to improve contours and shape. Now is the time to start some healthy habits and get some good advice, so seek out a reliable source!

Best of luck!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Please do not remove any fat in your face since this will just age you more quickly when you are older. You might consider radiofrequency treatments, like Secret, for minimally invasive skin tightening for now.