Can you fill the buccal pad?

Most patients that are disatisfaced with buccal fat removal usually lack prominent cheek bones.
The cheek bones, not the buccal fat are the support of the face. 
When I do a buccal fat removal consultation I always evaluate the cheek bones. If the patient have no prominent cheek bones I explain to the patient that is mandatory to enhance the cheek bones to avoid de above mentioned post-procedure problem. If the patient refuses to enhance the cheek bones  before or at the same time of the procedure  ( usually with soft tissue fillers like voluma) I refuse to perform the operation.
It is possible that patients that are dissatisfied with heir buccal fat removal because "the muscle that frames my mouth to almost go flat ( not supported )" could become satisfied by enhancing their cheek bones with soft tissue filers (which is the key for a chiseled sported face post buccal fat removal).