Facial Surgery

Buccal Fat Removal

Buccal fat removal is a surgical procedure that extracts the fat pads from your cheeks to alter the structural contour of your face.

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Buccal fat removal extracts the specific buccal fat pads located deep within the lower cheeks. During the surgery, the surgeon creates small incisions exclusively inside your mouth near the upper molars. Through these access points, a precise portion of the buccal fat pad is physically isolated and removed. The primary mechanical objective is to alter the structural contour of the lower face by reducing volume in the cheek hollows.

The anatomical outcome depends entirely on your facial skeletal structure and existing soft tissue volume. Strong, prominent cheekbones provide a structural contrast that emphasizes the volume reduction in the lower cheeks. If your face naturally lacks strong skeletal definition, removing this deep fat may not create the desired mechanical contour. The biological size of your buccal fat pads dictates how much tissue can be safely extracted.

Facial Aesthetics at this clinic

Results

These are facial aesthetics cases performed here, not all of them this operation — some include an uplift, which is a different procedure. Every pair is on the results page with its own description.

Rhinoplasty — Before
Before
Rhinoplasty — After
After

Rhinoplasty

A profile that suits the face

The bridge lowered and the tip refined, judged against the chin and the forehead.

Buccal fat removal addresses deep anatomical volume, setting it apart from facial liposuction. Liposuction removes superficial subcutaneous fat located directly just below the skin using a cannula. The buccal fat pad is a distinct, encapsulated mass situated deeper beneath the facial muscles. Because the incisions are made entirely inside the oral cavity, this specific structural modification leaves no visible external scars on the skin.

When attending your consultation, bring photographs of your facial structure over the past several years. This helps establish your baseline tissue volume and how your facial fat naturally changes over time. You should clearly indicate the specific areas of your cheeks that concern you. Be prepared to discuss any history of dramatic weight fluctuations or previous structural modifications, including dermal fillers in your midface.

No price list. Every plan is quoted for one person and one anatomy, so a figure only means something once someone has looked at yours — you get one in writing before you commit to anything.

This article is general information, not medical advice, and does not replace a consultation. Every procedure carries risk and outcomes vary from person to person.

Guests of the clinic, on camera

Guest Films

Filmed and published with our guests’ consent. Each speaks only for their own treatment — every face heals differently, and these are individual outcomes, not a promise of yours.

Questions people ask

Answered as far as they can be answered in writing. Anything that depends on your own anatomy is answered by a surgeon looking at it.

What is buccal fat removal?

Buccal fat removal is a surgical operation that extracts the encapsulated buccal fat pads situated deep within the lower cheeks. By mechanically removing this specific tissue mass, the procedure alters the facial structure, aiming to reduce fullness in the lower cheeks and emphasize the underlying skeletal contour.

What is the difference between buccal fat removal and facial liposuction?

Facial liposuction extracts superficial fat located directly beneath the skin using a suction cannula. Buccal fat removal targets a distinct, deep structural fat pad located beneath the facial muscles. The two procedures address completely different anatomical layers of facial tissue to alter the volume.

Where are the scars for buccal fat removal?

The incisions for buccal fat removal are made entirely inside the oral cavity, specifically on the inner mucosal lining of the cheeks near the upper molars. Because the surgical access is strictly internal, the procedure leaves no visible external scars on the skin of the face.

Is buccal fat removal permanent?

The encapsulated fat pads taken out during the surgery do not grow back. That does not fix the rest of your face: the superficial fat that remains can still expand with weight gain, and the face goes on changing with age.

Is buccal fat removal performed under general anesthesia?

Buccal fat removal is frequently performed under local anesthesia, meaning you are fully awake but the inside of your mouth is completely numb. Depending on your specific surgical plan or if you are combining it with other procedures, intravenous sedation or general anesthesia can also be utilized.

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