What is Buccal Fat Removal?
Buccal fat pad removal is designed to slightly thin the lower face and lower cheeks by removing fat in these areas. Specifically, the buccal fat pad (“Bichat fat pad,” hence the operation’s name) is removed to sculpt the lower face gently. This procedure gently re-sculpts the lower face and decreases cheeks that are “chubby” or too thick. The size of the buccal fat pad varies among individuals, and it is not fully predictable how large it is on physical examination. It is important to note that not all the fullness of the cheek is made from the buccal fat pad! The superficial fat of the face, musculature, or skeleton of the face may lead to prominent cheeks. Therefore, removing the buccal fat pad will not make the cheeks much thinner for some individuals. In fact, most of the time, the results of fat pad reduction are subtle, so you don’t see as many before and after results online as you see with other operations. Oftentimes, only a few ml (2-3 ml) of volume from each fat pad can be removed. Buccal fat pad surgery is typically not performed on thin faces due to the risk of looking gaunt with age.