Buccal fat removal has become a popular option for those seeking a slimmer, more defined facial appearance. This elective cosmetic procedure targets fat pads in the lower cheeks that can create a rounded or chubby look for some people. Buccal fat removal is a straightforward surgical technique that can contour the cheeks and enhance the visibility of the cheekbones by reducing fullness, specifically in the area of the cheek hollows.

The process is performed by removing a small portion of fat from inside the mouth, typically under local anesthesia. Results can be long-lasting, but it is essential for candidates to understand both the advantages and the potential risks. Those considering treatment should weigh the benefits, recovery process, and the importance of choosing a qualified surgeon, like Dr. Diaz, before proceeding.

What Is Buccal Fat Removal?

Buccal fat removal is a surgical procedure intended to slim the lower cheeks by extracting the buccal fat pad, a natural pocket of fat inside the face. This operation is often chosen by those looking for a more defined or contoured facial shape, especially in the cheek area.

Purpose of the Procedure

The primary goal of buccal fat removal is to reduce fullness in the cheeks and emphasize the cheekbones. By targeting the specific fat pad, Dr. Diaz can sculpt the mid and lower face, creating a slimmer and more chiseled appearance.

This procedure is not designed for overall weight loss or addressing large volumes of facial fat. Instead, it is aimed at refining the natural contours of the face, particularly for patients whose efforts with diet and exercise have not changed the roundness of their cheeks.

Many people seek this surgery to address what they feel are excessively chubby cheeks or a “baby face.” Results are typically permanent since the removed fat does not grow back, but major weight gain can still impact facial fullness after the procedure.

How Buccal Fat Contributes to Facial Contour

The buccal fat pad is a distinct, encapsulated mass deep within the cheek that helps shape the face between the jawline and cheekbones. Its size is mostly determined by genetics, making some individuals naturally prone to fuller, rounder cheeks even at a healthy weight.

Removing the buccal fat pad can make the cheekbones and jawline appear more pronounced. However, the amount of fat removed is tailored to each person to maintain a balanced, natural look and avoid an overly hollow appearance.

In some cases, the surgeon combines buccal fat removal with other facial procedures to enhance overall harmony. The effect of the surgery is noticeable once swelling subsides, with a more sculpted facial profile becoming evident over weeks to months.

Candidacy and Suitability

Ideal candidates for buccal fat removal are healthy adults who feel that their cheeks appear disproportionately full and wish for greater facial definition. The best results are seen in people who have a stable weight and realistic expectations about the outcomes of cosmetic surgery.

Those with thin or narrow faces may not be good candidates, as excessive fat removal can create a sunken or prematurely aged appearance. Surgeons often assess the entire facial structure, skin elasticity, and overall health to determine suitability.

People considering the procedure are usually evaluated for medical conditions, medications, and lifestyle factors like smoking, which can affect healing. Individuals seeking more information on eligibility and patient selection can review details from reputable sources.

Buccal Fat Removal Procedure Steps

Buccal fat removal involves precise planning and a series of well-defined steps. The process includes professional assessment, surgical technique, and anesthesia selection to ensure optimal outcomes and patient safety.

Consultation and Assessment

Dr. Diaz evaluates the patient’s facial structure, health history, and aesthetic goals. During this visit, he examined the size of the buccal fat pads and facial bone structure to determine if the procedure is appropriate. Photographs are often taken to help plan the surgery and set realistic expectations.

Patients review potential risks and benefits, and ensure they are suitable candidates. Individuals with naturally thin faces, underlying medical conditions, or certain allergies may not be advised for this surgery. Dr. Diaz outlines what the patient can expect during recovery and explains possible side effects or complications.

A personalized plan is developed based on the patient's anatomy and desired results. The discussion typically includes reviewing before-and-after cases, costs, and alternatives. This careful assessment stage supports both safety and satisfaction.

Surgical Technique

Dr. Diaz starts by marking the location for the incisions, usually on the inside of the cheeks. A small incision is made in the mouth, which prevents visible facial scars. The buccal fat pad is carefully exposed using specialized surgical tools.

The surgeon gently teases out the appropriate amount of fat, taking care not to injure surrounding tissues, nerves, or salivary ducts. Precision is critical for symmetrical and balanced results. Once the desired fat has been removed, the incision is closed with dissolvable stitches, minimizing the need for later stitch removal.

Most procedures are completed in under an hour. Using oral incisions reduces the risk of external scarring.

Anesthesia Options

Buccal fat removal can be performed under local anesthesia, intravenous sedation, or general anesthesia. The choice depends on the patient’s medical history, preference, and the complexity of the procedure. Local anesthesia numbs only the cheek area, allowing the patient to remain awake but comfortable.

Intravenous sedation provides a deeper level of relaxation without full unconsciousness, while general anesthesia induces complete sleep. Most minor and straightforward cases use local anesthesia, reducing recovery time and risks linked to more profound sedation.

Dr. Diaz and anesthesiologist evaluate individual factors, such as allergies and previous anesthesia experiences. All options are discussed in detail to help the patient make an informed decision regarding comfort and safety.

Benefits and Risks of Buccal Fat Removal

Buccal fat removal can alter the facial profile by reducing cheek fullness and can help some individuals achieve a slimmer facial appearance. Like any surgical procedure, it has potential drawbacks and complications that should be weighed carefully.

Potential Aesthetic Outcomes

Buccal fat removal targets the buccal fat pads in the lower cheeks to create a more sculpted look. Patients may notice more defined cheekbones and a slimmer lower face after the swelling subsides. This procedure can be particularly beneficial for individuals with a naturally round or fuller face.

Results are typically permanent because the fat pads do not regenerate. Excess removal can sometimes make the face appear too hollow, especially as the person ages, since natural fat loss in the cheeks occurs with time. If asymmetry exists before surgery, it may become more noticeable post-procedure. Outcomes depend on each patient’s facial anatomy and the surgeon’s technique.

Recovery and Healing Process

Initial recovery from buccal fat removal usually involves mild to moderate swelling, bruising, and discomfort in the cheeks. Most swelling resolves within about two weeks, but final results are often visible closer to three months post-surgery. Stitches placed inside the mouth typically dissolve on their own, minimizing external scarring.

People are usually able to return to daily activities within a few days. Special care is needed with oral hygiene, and a soft diet may be recommended during early healing. Adhering to post-operative instructions is important to reduce the risk of infection. Most patients experience a smooth recovery if they follow their surgeon’s advice.

Possible Complications

All surgeries carry some risk, and buccal fat removal is no exception. Potential complications include infection, bleeding, and adverse reactions to anesthesia. There is a risk of injury to the facial nerve branches, although this is rare.

Excessive removal of buccal fat can lead to long-term hollowed cheeks or a gaunt appearance, particularly as the person gets older. Cheek asymmetry may also occur if too much fat is removed from one side. To learn more about these risks and see how they might impact results.

Cost and Why Choosing Dr. Javier Díaz Matters

The cost of buccal fat removal can vary depending on several factors, such as geographic location, facility fees, and the surgeon’s experience. While prices in the U.S. typically range between USD 2,800 and USD 3,150, undergoing your procedure with Dr. Javier Díaz in Puerto Vallarta offers not only access to world-class care but also more affordable pricing, without compromising on safety, quality, or results.

What Influences the Cost?

When planning your surgery, it’s important to consider all related expenses, which may include anesthesia, pre- and post-operative care, and facility charges. At Dr. Díaz’s practice, transparency is key: you’ll receive a full breakdown of costs, guidance on available payment options, and clarity about what’s included in your treatment plan.

Why Choose Dr. Díaz?

With over 20 years of surgical experience and more than 3,000 successful facial procedures, Dr. Javier Díaz is not only a trusted ENT and rhinoplasty specialist—he’s also deeply attuned to the aesthetic balance and harmony of the face. His artistic approach to buccal fat removal prioritizes natural-looking results that enhance your features without overcorrection.

Dr. Díaz is board-certified, highly rated by both local and international patients, and works out of fully accredited surgical facilities. Patients are encouraged to view before and after photos, read verified testimonials, and book a consultation to openly discuss their goals. During your consultation, Dr. Díaz will provide a personalized assessment, explain the surgical technique, and ensure you feel informed and confident every step of the way.

Choosing the right surgeon is more than a matter of credentials—it’s about trust, communication, and artistry. With Dr. Díaz, you're in expert hands.

Frequently Asked Questions

Buccal fat removal can change the contour of the face, and patients often have questions about appearance, recovery, long-term results, and potential risks. This section addresses the most specific concerns based on clinical information and current public discussions.

What can one expect from before and after the results of the procedure?

Patients typically observe a slimmer and more sculpted facial profile after buccal fat removal. Full results may take several weeks to become visible as initial swelling resolves.

The most noticeable change is less fullness in the lower cheeks, often making cheekbones appear more defined. For more on typical changes.

Are the results of buccal fat removal still apparent 10 years post-procedure?

Buccal fat removal is considered permanent since the fat pads do not grow back once removed. The facial contouring achieved from surgery tends to last for many years, including at the 10-year mark. Age-related facial changes such as volume loss may alter appearance over time, but the effects of the procedure itself are long lasting.

Is it common for patients to regret undergoing buccal fat removal?

Patient satisfaction is generally high when the procedure is performed on the right candidates. However, there are instances where individuals regret the decision, often due to changes in facial fullness with aging or because results did not meet personal expectations.

Comprehensive consultations help reduce the risk of dissatisfaction by clarifying realistic outcomes.

What possible side effects should be considered when getting buccal fat removal?

Potential side effects include swelling, bruising, and mild discomfort during initial recovery. Rare complications can involve infection, damage to facial nerves, or overcorrection leading to excessive cheek hollowing.