Miami, Florida

Buccal Fat Removal

Introduction

Introduction to Buccal Fat Removal

If you’ve ever felt that your cheeks overwhelm your facial features, making you appear rounder or less defined than you’d like, you’re not alone. For individuals with naturally full, prominent cheeks, no amount of weight loss or contouring can create the sculpted look they desire. Buccal fat removal solves this by carefully reducing excess fat in the cheek area, enhancing definition in the cheekbones and jawline.

This procedure had a negative reputation in the 90s and early 2000s, based on the concern that it would hollow out the face over time. While removing too much volume improperly can cause a hollow or aged look, Dr. Rivera believes this concern was unfounded. The fat removed is from an area of the cheek that cannot be elevated to the upper cheek, where it would be beneficial. Instead, it naturally sags downward, potentially causing further issues as the face ages. In other words, localized fat is never truly beneficial as we age.

Miami Beach plastic surgeon Dr. Rivera takes a personalized approach to ensure that candidates are suitable for this procedure and that their long-term facial harmony and youthful structure are preserved.

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.

A young woman sits in bed, wrapped in a white sheet. Her dark hair cascades down her back as she looks directly at the camera with a neutral expression. Her makeup is subtle, and her smooth skin is visible. Her arms rest on the sheet, which is slightly wrinkled around her torso. The bedding beneath her is a light grayish-taupe color with a subtle pattern, and the background features muted, neutral tones. - Buccal Fat Removal in Miami Beach, FL

How Much Improvement Can I Expect From Buccal Fat Removal, and Where?

The improvement is typically subtle. It’s important to note that buccal fat removal targets most of the volume in the cheek area above the mouth and below the cheekbone. However, many people also have fullness below the mouth and between the mouth and jawline. In these cases, patients may also benefit from micro liposuction of the peri-oral mound (around the mouth). Additionally, many patients find that adding volume to the highest part of the cheek helps create a more triangular, thin, or balanced appearance (facial balancing surgery).

What Are the Benefits of Buccal Fat Removal?

For those with naturally full or “chubby” cheeks, buccal fat removal offers a refined, more sculpted facial appearance that highlights the cheekbones and jawline. Unlike weight loss, which doesn’t always target facial fullness, this procedure provides permanent contouring results that complement your natural facial structure. Because the incisions are placed inside the mouth, there are no visible scars, and recovery is generally quick. This treatment can also help balance facial proportions, making it a great option for those who feel their lower face appears disproportionately round or wide.

Who Are the Best Candidates For Buccal Fat Removal?

Ideal candidates for buccal fat removal are individuals with naturally full or prominent cheeks that persist regardless of weight fluctuations and those who feel their facial structure appears too rounded or lacks definition. However, it is not recommended for individuals with already balanced or naturally slim faces, as the removal of buccal fat can lead to excessive hollowing as they age. Ideal candidates are in good health, have stable body weight, and understand the procedure’s long-term effects. During a consultation at our Miami Beach office, Dr. Rivera carefully assesses facial proportions and provides expert recommendations to ensure each patient achieves the best aesthetic outcome without compromising their natural aging process.

What’s the first step?

The first step in undergoing buccal fat removal is scheduling a consultation with Dr. Rivera in Miami, where he will review your facial anatomy to determine whether this procedure is the right fit for you. Since buccal fat removal is a permanent change, Dr. Rivera carefully considers factors such as your age, facial proportions, and how your features may evolve over time to ensure a balanced, natural result. If you are a good candidate, he will walk you through the procedure, recovery process, and expected results. Make sure to ask questions you may have and be open about what you want to get out of this procedure. This is your time to get informed before scheduling the surgery.

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What to Expect on the Day of Buccal Fat Removal Surgery

On the day of your procedure, you will arrive at Dr. Rivera’s Miami office, where his team will ensure you are comfortable and fully prepared. Buccal fat removal is usually performed under local anesthesia, though general anesthesia may sometimes be used. The surgery is minimally invasive, taking only about 30 to 45 minutes, and involves small incisions inside the mouth, allowing Dr. Rivera to remove excess fat carefully. After a short recovery period at the clinic, you will be able to return home the same day with post-operative instructions to begin the healing process.

Buccal Fat Removal Recovery

Mild swelling and discomfort after the procedure are common for the first few days, and since the incisions are inside the mouth, a soft or liquid diet may be recommended initially to prevent irritation. Swelling is the most noticeable in the first week but gradually subsides, revealing initial contouring results within a few weeks. The full results become more apparent over the next 3 to 9 months as residual swelling diminishes and the face fully adapts to its new shape. Dr. Rivera will leave you with detailed instructions for recovery, including oral hygiene tips and activity restrictions, to ensure a safe recovery and the best results.

How Much Does Buccal Fat Removal Cost in Miami, FL?

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The cost of Buccal Fat Removal in Miami Beach starts at about $2,000 and can get up to $5,500 or more. This price reflects the complexity of the treatment, how much fat is removed, the expertise of your surgeon and facility, anesthesia, and medication costs. During your consultation, Dr. Rivera will provide a personalized quote based on your surgical plan, and his practice offers financing options to make the procedure more accessible to patients seeking a refined, sculpted look. For an exact pricing estimate, we encourage scheduling a consultation to discuss your goals and receive a tailored treatment plan.

Why Choose Dr. Rivera? What Sets Us Apart?

We are specialists and have the know-how. Dr. Rivera-Serrano is among the country’s most highly trained plastic surgeons, having completed two separate residencies (plastic surgery & head & neck surgery / ENT) and two clinical fellowships in some of the most prestigious institutions in North America, Asia & Europe. He is double board-certified by accredited bodies recognized by the American Board of Medical Specialties and the Florida Board of Medicine, and he has vast surgical experience, having performed thousands of successful surgical cases. Dr. Rivera-Serrano has been a University Professor of Surgery, teaching residents how to perform plastic surgery and knowing the intricacies of the field. He is a respected Miami plastic surgery community member, an innovator, and the author of numerous articles in leading peer-reviewed journals and textbooks. Always aiming for natural results, he knows how to combine artistry with safety. All the above sets him apart as a top surgeon with one of the most comprehensive plastic surgery offerings throughout Miami, South Florida, and Colombia.

Buccal Fat Removal FAQ’S

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Patient Reviews

4.79 – 103 Reviews

  • Dr Rivera is an excellent surgeon

    Dr Rivera is an excellent surgeon. Very professional and great chair side manner. I was extremely pleased with my experience and procedures and I will recommend Dr Rivera Always!!!!

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    J.P., Google

  • I cannot recommend Dr. Rivera enough

    I cannot recommend Dr. Rivera enough. I had such a good experience at his practice and I appreciate how kind and knowledgeable he was.

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    L.B., Google

  • as soon I meet Dr Rivera I knew he was the best

    I had a great experience. I visited 4 surgeons between Miami and Ft Lauderdale; some very senior and well known, but as soon I meet Dr Rivera I knew he was the best. Dr Rivera listened, was patient and gave me several options for treatment. He is exceptionally talented and trained, ans has great manners. I was impressed with his resume, superior to pretty much any plastic surgeon I’ve meet. The procedure went very well. I obtained the results I wanted. His staff is top notch. Absolute recommendations. He is a Rockstar!

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    Anonymous, RealSelf

Schedule a Consultation

Dr. Rivera can guide you through every step if you’re considering removing buccal fat to refine your facial contours. The first step toward achieving a more sculpted, defined look is scheduling a consultation at our Miami Beach office—call (305) 792-8244 or email info@riveraplasticsurgery.com.

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