Buccal Fat Removal
What Is Buccal Fat Removal?
Buccal fat removal is a procedure that reduces the fullness of the lower cheeks by removing a portion of the buccal fat pad — a natural fat deposit located deep in the cheek area. By reducing this fullness, the procedure creates a more sculpted, contoured mid-face with more defined cheekbones and jawline.
Symptoms and Concerns Buccal Fat Removal Can Address
Buccal fat removal may be suitable if you experience:
- Rounded or overly full cheeks that make the face appear heavier than desired
- A lack of definition between the cheeks and jawline
- A desire for a slimmer, more sculpted mid-face
- Facial fullness that persists despite weight loss or exercise
Who Is a Good Candidate for Buccal Fat Removal?
You may be a good candidate if you:
- Have naturally full or rounded cheeks unrelated to overall body weight
- Are seeking a more contoured, defined facial shape
- Are in good general physical health
- Have realistic expectations about achievable results
- Do not have thin or gaunt facial features, as excessive fat removal can prematurely age the face
During your consultation, Dr. Esen evaluates your facial structure and fat distribution to determine the right amount of fat to remove for a balanced, natural result.
How Buccal Fat Removal Is Performed
Buccal fat removal is typically performed under local anesthesia with sedation or general anesthesia, and takes 30–45 minutes.
- 1. A small incision is made inside the mouth, near the inner cheek
- 2. The buccal fat pad is carefully identified and gently exposed
- 3. A precise, measured amount of fat is removed to achieve the desired contour
- 4. The incision is closed with dissolvable sutures
Because the incision is placed entirely inside the mouth, there is no visible external scarring.
Recovery Timeline
Days 1–3 Mild swelling and tightness in the cheeks are expected. A soft diet is recommended.
Days 4–10 Swelling gradually decreases, and normal eating can typically resume with some caution.
Weeks 2–3 Most visible swelling resolves, and the new facial contour becomes more apparent.
Weeks 4–6 Remaining subtle swelling continues to subside as the cheeks settle into their final shape.
Months 2–3 Final results are visible, with a fully sculpted, defined mid-face contour.
Expected Results
A successful buccal fat removal delivers:
- A slimmer, more contoured mid-face
- Improved definition between the cheeks and jawline
- Enhanced cheekbone prominence
- A permanent reduction in cheek fullness
- A natural, balanced facial appearance
Frequently Asked Questions (FAQs)
Is buccal fat removal permanent?
Yes. Once the buccal fat pad is removed, it does not return, making results permanent.
Will there be visible scarring?
No. The incision is made entirely inside the mouth, leaving no visible external scar.
Could my face look too thin as I age?
This is why careful, conservative fat removal is important — over-removal can lead to a gaunt appearance later in life as natural facial volume declines with age. Dr. Esen plans the amount removed with long-term facial aging in mind.
Is the procedure painful?
Most patients experience mild discomfort and swelling rather than significant pain, manageable with prescribed medication.
Can buccal fat removal be combined with other procedures?
Yes. It is frequently combined with facelift, chin or jaw implants, or facial fat grafting to other areas for comprehensive facial contouring.