I want to reduce the fat in my lower cheeks and jawline and overall slim my face, what are my options?

Hello,     Thank you for your question.  I understand that you would like the best option to thin your younger, “fuller” face. There are honestly not that many options because liposuction of the face itself is not a common procedure, a safe procedure or even an effective procedure, unless it is performed in a very, very carefully selected patient. I’m not speaking of liposuction of the neck. Liposuction of the neck is very commonly performed for individuals with fullness in the submental region. What I just spoke of was liposuction of the cheeks below the skin. That is not a common procedure. I think you are on the right track. The best option by far to nicely, subtly but noticeably thin your face would be buccal fat removal.  The result is subtle and you will certainly notice the result and your before and after photographs will also demonstrate the thinning effect from the buccal fat removal.  The result however is not going to be drastic. I do understand and agree that surgeons need to mention to you there is a possibility of having volume loss in your face ad you get older, as a result of having buccal fat removed when you were younger. I think what’s important in your case however is that your overall body habitus is thin and you still have a full face. So it’s not like you can lose a bunch of weight to thin your face.  if a patient is significantly overweight then obviously the best way to thin the face would be generalized weight loss. I see frequently people that are in good physical condition and have a normal BMI.  They have a nice body habitus but they have a full face. If having a thinner face is important to you at this point in your life, I recommend having your buccal fat removed. The amount of buccal fat removed is not necessarily large. The buccal fat pad varies from individual to individual but you’re only going to most likely have removed about four cracked almond sizes from each side. If you want to say this is the size of a walnut, I think that a walnut is the largest fat pad anybody owns. In the patients I have performed the surgery on, most have been young, one was an absolutely stunning model and all of my patients have been satisfied with the procedure. Finally, It is important to choose your surgeon carefully. Just like any surgery you are choosing to undergo, it is important to find a surgeon that is confident to perform this procedure on you. While identifying the buccal fat pad is not that difficult, sometimes it does require greater skill and there is certainly important anatomy in the vicinity of the buccal fat pad.  also, this surgery does not require general anesthesia. It can be performed using local anesthesia with or without oral anxiety reducing medication.      I hope my information helps Guide you in your journey to obtain your most ideal appearance. Please also remember there are absolute limitations and you always have to have reasonable expectations. Trust your surgeon!   We are all accountable for our work  

Hello, thank you for your question. It seems like you can benefit from Buccal fat removal, this is a good option to contour the face. Buccal fat excision can be done comfortably, awake, under local anesthesia in under an hour. The results are long lasting and the recover is quick. I recommend you to schedule a consultation with a board certified plastic surgeon for proper evaluation.

Reduction of the buccal fat pad is a common cosmetic procedure that is performed in order to slim the lower third of the face. Patients who are concerned about chubby “chipmunk cheeks” often elect to undergo this procedure in order to accentuate the cheek bones and create a more sculpted appearance. This procedure is commonly performed under a light sedation.  I would advise speaking with a facial plastic surgeon to review the risks, benefits, and alternatives in detail. Buccal fat reduction results are usually fairly subtle.  Any patient looking into this procedure needs to be evaluated by a surgeon to determine if they are a good candidate.  All the best,

You are a candidate for buccal fat pad removal and it won't cause a problem for you later in life. In addition to removal of the buccal fat pad, I would recommend chin, jawline and jowl liposuction. In order to provide skin tightening, minimally invasive treatment like Ultherapy or Facetite may be helpful.

I recommend scheduling an in-person consultation with a second, board-certified facial plastic surgeon for further assessment. From your photos it appears you would indeed benefit from buccal fat pad removal. While this procedure can affect the aging process for some patients, most patients that have the surgery do not experience adverse effects of the fat pad removal over time. Buccal fat pad removal is a straightforward procedure that can be done using local anesthesia. Incisions are placed inside the mouth so there is no visible scarring after the surgery. 

Treatment of ‘chubby cheeks’ cannot be achieved alone with buccal fat pad removal; a fact that I encounter time and time again when seeing patients in consultation for lower facial sculpting. My approach is to use a combined protocol that redefines aesthetic contours of the face. This includes the following: 
  
Buccal Fat Pad Removal Non-surgical Muscle-Fascia Tightening Venus Legacy or Venus Viva Ultherapy Submental Liposuction or Coolsculpting   
The combined approach is ideal. Buccal fat pad removal is a exceptional procedure that can remove excess fat from the cheek pads. Using an intraoral approach, a small incision is carried through the mucosa to remove a small fat pad within the cheek. Closure of the incisions is minimal with an absorbable suture and patients will experience some swelling post-operatively. We use SwellX tablets post treatment. Once healed, the contour of the cheek is improved and we begin Non-invasive tissue tightening to further enhance results. 
  
Best, 
Dr. Karamanoukian 
Realself100 Surgeon

A buccal fat removal procedure can provide slimming in the lower face, in the lower anterior cheek region specifically. It can also help create more definition in the lower face depending on the overall bone and underlying tissue structure of the face. If the patient is a suitable candidate and if it is performed in an appropriate amount, there does not to be any adverse affects at all. It will be best to consult a board certified facial plastic surgeon in person and discuss your goals and options after a physical examination.Hope this helps,Ali Rıza Öreroğlu, MD FEBOPRASEuropean and Turkish Board Certified Aesthetic, Plastic and Reconstructive SurgeonIstanbul, Turkey

I think you would get a nice result that would slim the face beautifully! Definitely do not put Kybella in the cheeks!