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Soft Tissue

Buccal Fat Removal

Partial removal of the buccal fat pad to reduce lower cheek fullness.

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Region
Cheek
Anaesthesia
Local with or without sedation
Theatre time
30–45 minutes
Downtime
1 week

Overview

A conservative amount of the buccal fat pad is removed through a small intraoral incision to reduce mid-cheek fullness. The effect is permanent and may become more pronounced with age or weight loss, so restraint is essential.

What it changes

  • Lower cheek fullness
  • Cheek hollow definition
  • Perceived facial width

Common goals

Reduce a round lower-cheek appearance
Enhance perceived cheekbone definition

Candidates

General factors a surgeon may consider. Only a qualified surgeon can assess whether you are a candidate.

  • General physical health suitable for the anaesthetic required
  • Realistic, clearly articulated aesthetic or functional goals
  • Stable anatomy appropriate for the technique proposed
  • Non-smoking or willingness to stop for the surgeon's required window

Surgical approach

  1. 01Small intraoral incision opposite the upper molars
  2. 02Careful teasing out of a measured amount of fat
  3. 03Dissolvable sutures

Recovery timeline

  1. Day 1

    Immediate post-operative period. Swelling begins, dressings or splints may be in place, supervised rest.

  2. Week 1

    Peak swelling and bruising. Limited activity, soft diet where relevant, first follow-up visit.

  3. Week 2

    Bruising fades. Many people feel socially presentable, light activity resumes.

  4. Week 4

    Most acute swelling resolves. Gradual return to exercise as cleared by the surgeon.

  5. Month 3

    Contours become clearer. Residual swelling continues to settle.

  6. Month 6

    Result is largely representative of the final outcome.

  7. Month 12+

    Final refinement, scar maturation, and revision assessment if needed.

Risks & complications

Bleeding, haematoma, or infection
Temporary or, rarely, permanent nerve disturbance
Asymmetry or an outcome that differs from expectations
Scarring, delayed healing, or wound problems
Anaesthetic risks
Possible need for revision surgery
Over-resection causing premature gauntness
Parotid duct or facial nerve branch injury (rare)
Asymmetry

Limitations

Does not affect jawline fat or submental fullness
Irreversible — volume cannot be easily restored
Not a substitute for skeletal definition

Before & after cases

No verified cases published yet

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Surgeons performing this procedure

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Cost

$2,000 – $7,000

These are broad estimates only. Actual costs vary significantly by country, surgeon, hospital, anaesthesia, imaging, orthodontic treatment, revision policy, and individual complexity. Always obtain a written quotation.

Questions to ask your surgeon

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Information on this platform is for educational purposes and should not replace consultation with a qualified medical professional. Surgical suitability, risks, and expected outcomes must be assessed by an appropriately qualified surgeon.