Is the Cheek Pad the Same As the Buccal Fat Pad? (photo)

No they are not the same-although cheek is a lay term, the medical term for cheek is malar or melo

By saying cheek pad I think you are referring to the malar fat pad

this is an upside down triangle of fat that is relatively superficial,  just under the skin a and subcutaneous fat 

this must be elevated in facelifts in order to restore upper cheek fullness and to pull the bottom tip up off the mandible where it exists as the jowl

 

The buccal fat pads is deeper and slightly lower on the face 

removing some of it can narrow narrow the lower face thus turnning a round face into more of a heart shaped face

 

Do no take this as medical advice as I have not examined you but if you were to come to see me I would recommend a redo facelift as  your malar fat pad does not seem to bee elevated and supported.  Consider my comments general information only.

buccal fat pad reduction might work synergistically with that

best of luck 

work with a surgeon you trust 

Patients can get fullness in the lower face as gravity pulls fat from the cheek downward.  It can be repositioned with a facelift.  The buccal fat pad is a separate entity that can contribute to volume in the cheek unrelated to age.  It is uncommonly a problem but can be treated under local anesthesia through the inside of the mouth.