Buccal fat pad removal, also known as buccal lipectomy or cheek reduction surgery, is a cosmetic procedure designed to reduce fullness in the cheeks by removing excess fat pads located in the lower part of the face. This procedure aims to create a more sculpted and defined facial contour, particularly in individuals who have genetically fuller cheeks or those who have developed a rounder facial appearance due to aging or weight gain.



The surgical process typically begins with a consultation between the patient and a qualified plastic surgeon. During this consultation, the surgeon will assess the patient's facial anatomy, discuss their goals and expectations, and determine whether they are suitable candidates for buccal fat pad removal. It's essential for patients to have realistic expectations about the outcomes of the surgery and understand the potential risks and limitations involved.



On the day of the procedure, the patient will undergo general anesthesia or local anesthesia with sedation, depending on the surgeon's recommendation and the extent of the surgery. Once the patient is comfortably sedated, the surgeon will make small incisions inside the mouth, usually near the back of the cheeks, to access the buccal fat pads. By working through these incisions, the surgeon can carefully remove the targeted fat deposits while minimizing visible scarring.



The amount of fat removed during buccal fat pad removal varies depending on the patient's individual anatomy and desired outcome. The surgeon will use their expertise to sculpt the cheeks and achieve a harmonious balance between facial features, ensuring that the result looks natural and proportionate to the rest of the face. In some cases, additional facial contouring procedures may be performed simultaneously to enhance the overall aesthetic result.



After the fat removal is complete, the incisions are closed with dissolvable sutures, and the patient's mouth is rinsed to remove any debris. Recovery from buccal fat pad removal is typically relatively quick compared to more invasive facial surgeries. Patients may experience some swelling, bruising, and discomfort in the days following the procedure, but these symptoms can usually be managed with pain medication and cold compresses.



It's essential for patients to follow their surgeon's post-operative instructions carefully to promote proper healing and minimize the risk of complications. This may include avoiding strenuous activities, sticking to a soft diet, and practicing good oral hygiene to prevent infection. Most patients can expect to see noticeable improvements in their facial contour within a few weeks, although final results may take several months to fully manifest as swelling subsides and tissues settle into place.