Operation Description

Facial fat plays an important role in maintaining a youthful and plump look, but its distribution is equally important. In some cases, buccal fat pads are larger and make the face appear fuller and more rounded. Weight loss does not always reduce these cheek fat pads, and non-surgical procedures cannot eliminate them. For that reason, the most effective method to reduce cheek volume is a buccal fat removal procedure. By removing the excess fat from the cheeks, the face achieves a slimmer, more elongated appearance, while the cheekbones and chin become more defined. Sometimes, buccal fat removal is combined with other procedures, most often a facelift.

Candidates

Buccal fat removal is suitable for individuals who:

  • Wish their face to look slimmer and more elongated

  • Have prominent cheek fat pads

  • Want to emphasize facial contours – cheekbones, jawline, and chin

  • Have facial asymmetry due to a larger amount of fat in one cheek compared to the other

  • Want to prevent cheek fat from migrating to the lower face over time, which can contribute to a sagging appearance

Preparation

Buccal fat removal is performed under local anesthesia. Since the fat is removed from the inside of the mouth, anesthesia is applied in the oral cavity, similar to a dental procedure. Local anesthesia provides sufficient comfort for a pain-free experience, and no special preparation is required. It is recommended to avoid blood-thinning medications (such as aspirin or ibuprofen) for a few days before the procedure.

Operation time

Once the anesthesia takes effect, a small incision about 2–3 cm long is made on the inside of the cheek. The surgeon carefully accesses the buccal fat pad, opens the thin capsule around it, and removes the excess fat. After the desired amount of fat is removed, the incision is sutured to ensure proper healing.

Recovery

After buccal fat removal, patients return home the same day. As the anesthesia wears off, some mild discomfort or a feeling of tightness in the incision area may occur, but this usually resolves quickly. Swelling and bruising are most noticeable within the first 48 hours and gradually subside over time. Since the incision is placed inside the oral cavity, in the mucosa that heals quickly due to constant salivation, recovery is usually faster and does not require prolonged downtime.

Safety precautions

To ensure a smooth and safe recovery, it is important to follow the doctor’s instructions. Adequate rest and avoiding strenuous activities in the first few days are key. A balanced diet rich in vitamins and minerals, along with proper hydration, supports faster healing. Cold compresses can be applied to reduce swelling and bruising during the initial days. Smoking should be avoided, as it slows down recovery and increases the risk of complications such as infection. Regular follow-up visits and adherence to the surgeon’s recommendations are essential for optimal results.

Frequently asked Questions

Can buccal fat removal be combined with other procedures?

Is buccal fat removal permanent?

When will I see results from buccal fat removal?

Is buccal fat removal performed under local or general anesthesia?

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