Many people seek facial contouring options to achieve a slimmer, more defined appearance. Buccal fat removal is a cosmetic procedure designed to reduce fullness in the lower cheeks by removing a small pad of fat, enhancing the cheekbones and jawline for a more sculpted look. This minimally invasive surgery provides a permanent solution for those who want to thin their cheeks and highlight their facial features.

Interest in this procedure has grown among adults who feel their facial structure appears too round or "baby-faced," regardless of their overall weight. While popular on social media, buccal fat removal is not suitable for everyone and requires a careful consultation with a qualified healthcare provider to determine candidacy and possible outcomes. Clear information about the process, recovery, and realistic expectations is key before deciding.

Key Takeaways

• Buccal fat removal reduces fullness in the lower cheeks for a more defined face.
• Not every person is a good candidate, and a professional consultation is important.
• Recovery, risks, costs, and results should be clearly understood before choosing surgery.

What Is Buccal Fat Removal?

Buccal fat removal is a plastic surgery procedure aimed at reducing fullness in the lower cheeks. It is often chosen by people who want a slimmer facial profile or more defined cheekbones.

Overview of Buccal Fat Pads

The buccal fat pads are distinct fat pockets located deep within each cheek's lower part. Their main function is to provide padding between facial muscles and bones.

These pads play a role in facial shape, especially in giving a rounded or youthful appearance. The size of buccal fat pads can vary between individuals due to genetics, age, and body composition.

As people age, these fat pads may naturally diminish, but for some, they persist into adulthood. The presence of larger buccal fat pads may contribute to what some describe as “chipmunk cheeks.” The structure and volume of these pads are key factors in determining the final results of surgery.

How Buccal Fat Removal Works

During buccal fat removal, a plastic surgeon makes a small incision inside the cheek, usually near the upper molars. The buccal fat pad is then gently teased out, and a portion of it is removed.

The incision is typically closed with dissolvable stitches. Since the cut is inside the mouth, it does not leave visible external scars. The procedure is most commonly performed under local anesthesia, but can also be combined with other facial surgeries depending on the patient's needs.

Recovery time is usually about one to two weeks, with most people seeing initial results as swelling subsides. Eating soft foods and maintaining good mouth hygiene is usually recommended while healing. Detailed information about the surgical steps and placement of incisions can be found through institutions like the Cleveland Clinic.

Benefits of Buccal Fat Removal

Buccal fat removal is primarily sought for aesthetic reasons. Reducing fullness in the lower cheeks can create a slimmer, more sculpted look and highlight cheekbones and jawlines. In some cases, it helps balance facial proportions.

There are no visible scars on the face, since all incisions are made inside the mouth. The effects of the surgery are permanent because fat cells do not grow back in that area.

Patients considering this procedure should have realistic expectations and understand that results depend on their bone structure, skin elasticity, and personal anatomy.

Who Is an Ideal Candidate?

Buccal fat removal is not suitable for everyone. Specific health factors, age guidelines, and unique anatomy all play a role in determining whether someone can benefit safely and effectively from this procedure.

Considerations for Candidacy

Those thinking about buccal fat removal should have realistic expectations and desire a slimmer, more contoured facial appearance, typically in the lower cheek area. Candidates usually feel their cheeks appear fuller or rounder than they want, despite otherwise healthy habits.

Ideal individuals are physically healthy, maintain a stable weight, and are either nonsmokers or willing to stop smoking. Being free from active infections and significant chronic medical conditions is essential since these can interfere with healing and increase surgical risks.

People should also recognize that the amount of buccal fat varies from person to person. For some, the natural fullness of the cheek will not change much even after the procedure. Discussing personal expectations during a professional consultation helps clarify whether the procedure will deliver noticeable results.

Age and Health Requirements

Buccal fat removal is generally recommended for adults with fully matured facial features. Facial growth usually completes by the late teens or early twenties. Because of this, surgeons often prefer that patients wait until their face has completely developed before considering surgery.

Patients should be in good overall health, free from untreated illnesses such as bleeding disorders, diabetes, or immune deficiencies. Individuals who smoke or use nicotine products are at greater risk for complications and may be asked to quit before surgery.

Surgeons may also assess mental health stability. Ensuring that patients seek facial refinement for personal satisfaction, rather than pressure from others, can reduce regret or disappointment after recovery.

Factors That May Affect Results

Several factors can influence the outcome of buccal fat removal. Facial bone structure plays a major role; those with prominent cheekbones may see more dramatic changes, while others with flatter facial anatomy might experience subtler effects.

Age also matters. The natural loss of facial fat occurs with aging, so removing buccal fat too early could lead to a more gaunt appearance later in life. Those with thin or angular faces may not benefit as much and could appear overly hollow.

Weight fluctuation after surgery can change the look of the face, decreasing satisfaction with results. People prone to significant weight changes should discuss this risk with their surgeon.

Consultation and Preparation

Buccal fat removal requires careful planning and communication with a qualified provider. Understanding the consultation process and following proper preparation steps can help minimize complications and ensure a smoother recovery.

Initial Consultation Process

During the first appointment, Dr. Javier Diaz will evaluate the patient's medical history and facial anatomy. He will discuss the patient's goals and expectations in detail, including desired facial contours and whether buccal fat removal is appropriate for them.

Dr. Diaz typically examines the cheeks, skin quality, and overall health to identify any possible risks. Preexisting conditions, allergies, and current medications are important factors. In this case, you should bring a list of all medications and supplements they use.

Dr. Diaz will explain potential outcomes, recovery details, and any risks. Patients are encouraged to ask questions and voice any concerns at this time. Clear communication helps align expectations and supports informed decision-making.

Pre-Procedure Guidelines

Patients may be instructed to avoid certain medications and supplements that increase bleeding risk, such as aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), and vitamin E. Smoking should be discontinued several weeks before the procedure, as it can impair healing.

A list of dietary or activity restrictions may be provided. Arranging transportation for the day of surgery is usually necessary. Preoperative instructions may include fasting for a specific period before surgery and using antibacterial mouthwash to reduce infection risk.

Following all guidelines provided by the surgeon is essential for safety and optimal results.

Buccal Fat Removal Procedure

Buccal fat removal targets the cheek area to create a more contoured facial appearance by removing excess fat pads. The process is surgical and requires careful planning, appropriate anesthesia, and precise technique.

Step-by-Step Procedure

A surgeon usually begins by marking the area of the cheek where the buccal fat pad sits. The patient’s mouth is cleaned, and a small incision is made inside the cheek, leaving no visible facial scars. Using gentle pressure, the buccal fat pad is exposed through the incision.

The surgeon carefully teases out an appropriate amount of fat using blunt dissection to avoid damaging surrounding structures. Commonly, only a portion of the fat pad is removed to prevent an overly sunken or hollow appearance.

After the fat is removed, the incision inside the mouth is closed with dissolvable sutures. Patients are often instructed to rinse their mouth with an antiseptic solution and to avoid certain foods for easier healing.

Type of Anesthesia Used

Local anesthesia with or without sedation is the most common method for buccal fat removal procedures. Local anesthesia numbs the inside of the mouth and the cheeks, allowing the patient to stay awake but comfortable. Some clinics may recommend combining a sedative to help patients relax, particularly if they are anxious or undergoing more than one procedure.

In certain cases, general anesthesia might be used, particularly if buccal fat removal is performed alongside other surgeries. The choice of anesthesia depends on patient preference, health factors, and the surgeon’s recommendation. Most patients tolerate local anesthesia well, and recovery is typically faster compared to general anesthesia.

Duration of Surgery

The procedure is relatively brief for most patients. A standard buccal fat removal takes between 30 minutes to one hour from start to finish.

If performed alone, it does not significantly extend operating time. When combined with other cosmetic surgeries, such as a facelift, the duration may be longer.

Minimal surgical time contributes to quicker recovery and reduces the risk of complications. The entire appointment, including preparation and post-operative instructions, usually lasts about two hours.

Recovery and Aftercare

Buccal fat removal typically involves a straightforward recovery with minimal discomfort for most patients. Healing focuses on gentle oral care, dietary changes, and short-term adjustments in daily routines.

Immediate Post-Operative Care

After buccal fat removal, surgeons usually recommend a soft or liquid diet to avoid stressing the healing areas. Examples include yogurt, soups, and smoothies, which help reduce the risk of irritating the incisions inside the mouth. Oral hygiene is especially important; patients are often given an antibacterial mouth rinse to prevent infection.

Care guidelines typically include avoiding vigorous rinsing, spitting, or using a straw for several days. These actions increase pressure in the mouth, which can disrupt wound healing. Dentists and surgeons also advise limiting speaking and chewing to promote quicker recovery.

Rest is encouraged on the first day. Keeping the head elevated—even while sleeping—can further reduce initial swelling and help control bruising.

Expected Downtime and Healing

Patients can expect some swelling and minor bruising in the cheeks after surgery. Most noticeable swelling occurs within the first few days, but a significant decrease can usually be seen by day five to seven. During this time, it is common to remain on a modified diet and avoid intense activity.

Most people can return to routine daily tasks after 1 to 3 days, provided their job is not physically demanding. The majority of healing, including the resolution of most swelling and residual discomfort, occurs within 2 to 3 weeks. Vigorous exercise and high-intensity activities should be avoided for at least three weeks following the procedure.

Final results become more visible as swelling subsides, but mild fullness may persist for a short time. Patients should follow their provider’s specific instructions to support optimal healing.

Managing Discomfort

Most patients describe the discomfort after buccal fat removal as mild, with many not requiring prescription pain medication. Over-the-counter pain relievers are often sufficient, though care should be taken to use only those recommended by the surgeon to avoid complications, such as excessive bleeding.

To minimize swelling and soreness, cold compresses may be used externally on the cheeks during the first 48 hours. Swelling reduction also benefits from staying upright and avoiding salty foods that encourage fluid retention. Close attention to oral hygiene—including the use of special rinses—further helps prevent complications.

Potential Risks and Complications

Buccal fat removal is a surgical procedure with both standard and less common risks. Careful attention to safety measures and postoperative care can help limit complications for most patients.

Common Side Effects

Typical side effects of buccal fat removal include swelling, bruising, discomfort, and temporary numbness in the cheek area. Most patients notice these symptoms in the first few days following the procedure, and they generally resolve without intervention. Mild bleeding at the incision site is also possible, but persistent bleeding should be addressed by the surgical team.

Other risks involve asymmetry, meaning one cheek may appear fuller or slimmer than the other after healing. There’s also a chance of infection since the incisions are made inside the mouth, creating a moist environment where bacteria can thrive. More serious complications are rare but can include injury to facial nerves, which may lead to motor or sensory issues, and damage to the salivary ducts, which could affect saliva flow. Reports from Johns Hopkins Medicine and Cleveland Clinic highlight these concerns in patient care guidance.

How to Minimize Risks

Prevention starts with choosing a board-certified and experienced plastic surgeon. A surgeon’s expertise reduces the risk of complications like nerve injury or noticeable facial asymmetry. Patients should discuss their full medical history and any existing health conditions during the consultation, so the provider can plan for any anesthesia or bleeding risks.

Following post-surgical care instructions is also crucial. This typically includes taking prescribed antibiotics to lower the risk of infection, avoiding tobacco use, and keeping the mouth clean using antiseptic rinses. Patients should watch for warning signs such as worsening pain, persistent swelling, or discharge from the incision site and contact their doctor promptly if these occur.

Expected Results and Longevity

Buccal fat removal leads to a leaner facial appearance by reducing volume in the lower cheeks. The changes are generally stable but are influenced by personal health and lifestyle habits.

Timeline for Visible Changes

Initial swelling and bruising are common after buccal fat removal. Most patients start to see a reduction in cheek fullness within 2 to 4 weeks as swelling gradually subsides.

Definitive results typically become clear between 3 to 6 months post-surgery. Factors like age, skin quality, and adherence to post-procedure care can influence the speed and quality of visible changes.

Patients should avoid expecting immediate outcomes, as residual swelling may persist for several months. Follow-up appointments help monitor healing and address any concerns.

Choosing the Right Surgeon for Buccal Fat Removal

Selecting the right specialist is one of the most important decisions when considering buccal fat removal. In Puerto Vallarta, Dr. Javier Díaz stands out for his extensive experience in facial procedures and his commitment to both function and aesthetics. As an ENT surgeon and rhinoplasty expert, Dr. Díaz brings a deep understanding of facial anatomy to every procedure he performs.

Why Choose Dr. Javier Díaz

With a track record of over 3,000 surgeries and years of experience in facial contouring, Dr. Díaz offers a unique combination of technical precision and artistic sensibility. His background as an otolaryngologist ensures that each procedure is approached with an expert eye for both cosmetic harmony and patient safety.

Dr. Díaz performs buccal fat removal using a minimally invasive technique, making small incisions inside the mouth to avoid visible scars. The procedure is typically done under local anesthesia and takes less than an hour to complete. Patients trust Dr. Díaz not only for his surgical skill but for his personalized care, state-of-the-art techniques, and dedication to natural-looking results.

His surgical facility in Puerto Vallarta is equipped to meet international standards, providing a safe, accredited environment for recovery. Many patients also choose Dr. Díaz for the added benefit of recovering in a beautiful coastal destination known for its tranquility, natural beauty, and charm.

What to Ask During Your Consultation

To feel fully confident in your decision, it’s helpful to ask specific questions during your consultation with Dr. Díaz, such as:

• How many buccal fat removal procedures have you performed?
• What kind of results can I expect based on my facial structure?
• What are the risks or possible complications in my case?
• Can I see before-and-after photos of past patients?
• What does the recovery process look like?

Dr. Díaz believes in transparent, honest communication. He takes the time to explain the procedure in detail, discuss realistic outcomes, and answer any concerns you may have. Whether you're local or traveling internationally for your surgery, you can count on a thorough, supportive experience from start to finish.

Alternative Procedures

People interested in reducing facial fullness often consider other procedures as alternatives to buccal fat removal. Options range from non-surgical treatments to less invasive cheek slimming methods that aim for a more contoured look with less downtime and risk.

Non-Surgical Facial Contouring Options

Non-surgical facial contouring has become more popular as technology and techniques improve. Injectable treatments like dermal fillers and neurotoxins can subtly reshape the cheeks, jawline, and chin. Fillers add definition and can visually slim the face by enhancing certain angles, while neurotoxins may slim the lower face by relaxing jaw muscles.

Energy-based devices, such as radiofrequency or laser-based technologies like FaceTite or Fotona4D, heat the tissue under the skin to stimulate collagen and tighten the area. Thread lifts offer a minimally invasive option by physically lifting facial tissues for a slimmer appearance. Other methods may include facial exercises, though evidence for significant fat reduction remains limited.

Comparison With Other Cheek Slimming Methods

Non-surgical options differ significantly from surgical buccal fat removal in effectiveness, longevity, and side effect profiles. Surgical removal delivers permanent results and dramatic changes, but with longer recovery and greater risk. In contrast, treatments like fillers, thread lifts, and energy devices offer temporary, subtle effects and lower complication rates.

Lifestyle and Maintenance After Surgery

Adjustments to daily habits help ensure a smoother recovery and better long-term results following buccal fat removal. Patients are usually advised to rest with their heads elevated, including while sleeping, to help reduce swelling.

A soft or liquid diet for several days is recommended. This helps prevent irritation and stress on the surgical area. Common options include soup, yogurt, mashed potatoes, and smoothies.

Foods to Consider Post-Surgery: After surgery, it’s important to choose safe foods such as mashed potatoes, yogurt, pudding, applesauce, and toast, while avoiding crunchy snacks, chips, and spicy foods that could irritate the healing area. Good oral hygiene remains essential, but patients should avoid vigorous rinsing or brushing near the incisions to prevent discomfort or infection.

Smoking and alcohol: should be avoided during the initial healing period as they can slow recovery and increase the risk of complications. Strenuous activities and intense exercise should be paused based on the surgeon's advice. This helps reduce swelling and lowers the chance of bleeding after the procedure. Routine activities can be resumed once the provider confirms it is safe.

Frequently Asked Questions

Buccal fat removal involves specific considerations regarding safety, healing, and suitability. The procedure also raises questions about changes in facial appearance over time, the permanence of results, and how facial structure can influence outcomes.

What are the potential risks and complications of buccal fat pad extraction?

Common risks linked to buccal fat pad removal include infection, swelling, bruising, and temporary numbness in the cheeks. Less frequently, patients may notice issues with asymmetry or injury to facial nerves.

Proper surgical technique and careful selection of patients reduce these risks. Most side effects are mild and resolve within a few weeks.

How long is the recovery period after undergoing a buccal fat pad removal procedure?

Initial swelling and discomfort typically last for about one to two weeks. Patients are often able to resume normal daily activities within a few days.

Most visible recovery is complete after two to three weeks, though mild residual swelling may persist for several months as facial tissues heal. Detailed instructions are typically provided to help ensure a smooth recovery process.

Can buccal fat re-accumulate after the procedure, and if so, under what circumstances?

The fat pads removed during buccal fat reduction do not regenerate, making the procedure generally permanent. However, significant weight gain after surgery can lead to overall facial fullness, but it does not specifically increase the buccal fat that was removed.

What are the criteria to be considered an ideal candidate for buccal fat pad removal?

The best candidates for buccal fat removal are adults with round, fuller faces who seek enhanced cheekbone definition. Good candidates have thick buccal fat pads and are in overall good health.

Those with narrow or gaunt faces are typically not advised to undergo the procedure due to the risk of hollowing. A consultation with a qualified provider is necessary to determine candidacy.

How does age impact the results of buccal fat removal surgery?

Younger individuals often see more noticeable contouring results since they have more buccal fat and better skin elasticity. With age, the face naturally loses fat and volume.

Those over 40 may be at higher risk for a sunken look after the procedure, as skin and soft tissues are less resilient with aging.

Are the results of buccal fat removal permanent, and how does it affect facial aging?

Results from buccal fat removal surgery are considered permanent because the fat pads do not grow back. However, facial appearance continues to change with age, and natural fat loss over time may accentuate midface hollowness.

Patients should be aware that while the original contouring effect lasts, changes in facial fat and skin elasticity due to aging may alter how results appear years later.