Although some fullness in the cheeks can have a desirable youthful effect, too much fullness can create a less appealing ‘chubby-cheeked’ look which can cause many people to feel self-conscious. The fullness of the lower cheeks is caused by a distinct depot of fat inside the buccal fat pad. Buccal fat is resistant to exercise or diet, resulting in round, or square-shaped facial contours that are often perceived as undesirable by many adult men and women. Even though buccal fat removal is a relatively small procedure, it is a very effective way to achieve a chiselled and slender look which can lead to a significant improvement of confidence and self-esteem.

Bfr Img, Greg Bran - GB Aesthetics

What is the goal of buccal fat removal surgery?

The goal of buccal fat removal is to reduce the fat volume in your cheeks, specifically in the lower part of your face where the cheek hollows.

What are the benefits of buccal fat removal surgery?

Buccal fat removal is a safe and effective procedure, that accentuates the contours of your cheekbones by selectively reducing the fat volume in the hollow part of your cheek. In men the reduction of facial plumpness results in a more chiselled jawline and cheeks. Women appreciate the more delicately sculpted slender facial contour. Buccal fat removal is done as a day case procedure through an incision in the mouth which means minimal downtime and no visible scars.

Before your procedure

Everybody’s anatomy is unique and requires an individualised approach. The size of buccal fat pads vary in each individual patient. It is also important to note that the size of the buccal fat pads can vary on each side of the cheeks, even in the same patient. This is something that will be taken into consideration should it be applicable.

During your consultation we will review your medical history, assess your area of concern and what you would like to achieve. In order to assess if you are an ideal candidate for buccal fat removal, Mr. Bran will examine the anatomy of your cheeks. Apart from a physical examination in order to analyse your cheeks, we put great emphasis on understanding how you feel about your face and what kind of an improvement you are most comfortable with. Appreciating your personal aesthetics and managing your expectations is key to any surgical planning by Mr. Bran. Based on the clinical findings and your personal motivation he will then be able to elaborate realistic goals. During your consultation photograph will be taken for your medical record.

You will also have a discussion about how the procedure is performed, possible risks of surgery, what to expect during recovery period as well as answer any other questions you may have. Depending on your age and health we might require additional tests prior to surgery.

Preparing for your buccal fat removal surgery

Preoperative assessment is critical in order to select appropriate patients for buccal fat removal surgery. Apart from a physical examination you will have a discussion about your current and past medical history, and any medication you are currently taking or have recently taken. You will be asked about allergies, particularly drug allergies. If required, an anesthetist will see you before your surgery. Depending on your medication, you may be asked to stop or change certain drugs for a duration of time.

You should refrain from taking Aspirin, or non-steroidal anti-inflammatory drugs such as Ibuprofen in the week before your surgery.

In order to optimize your healing, we strongly advise all our patients to stop smoking at a minimum of 2 weeks prior to your surgery and refrain from cigarettes or any other nicotine containing products for 2 weeks after their procedure. Smoking significantly impairs your post-operative recovery and doubles the risk of complications such as delayed wound healing, poor scars or altered results.

Risks Buccal Fat Removal

Am I a good candidate for buccal fat removal surgery?

You may consider yourself a good candidate when you:

  • You have realistic expectations
  • You are physically healthy and at a stable body weight
  • You are a non-smoker
  • You are bothered by the appearance of chubby cheeks or a “baby face appearance”

What are contra-indications for buccal fat removal surgery?

  • unrealistic expectations
  • your body weight is not stable

Does buccal fat removal surgery require general anaesthetic or hospitalisation?

Buccal fat removal surgery is performed under local anaesthetic through a small incision (approximately 15 mm) placed inside your mouth, on the inner portion of your cheek. The procedure is generally performed under local anaesthetic as a day case in our practice.

How long does buccal fat removal surgery take?

Usually buccal fat removal surgery takes less than 1 hour to perform, however if you have additional procedures, operating time will increase accordingly.

How long does the result after buccal fat removal surgery last?

Volume reduction within the buccal fat pad lasts a life time. Although the ageing process will unfortunately still have its effect on the appearance of your face in various ways, the contours of the cheek hollows will not increase in volume again should you maintain a stable weight.

Is buccal fat removal surgery very painful / does it cause bruising?

Minimal discomfort is expected. This includes swelling of the operated area. Bruising is uncommon. You will be given adequate pain medication to keep your discomfort at a minimum.

How long is the recovery after buccal fat removal surgery?

We advise our patients to plan enough time for their recovery. In the first week you should expect swelling around your cheeks. In order to keep discomfort at a minimum, we advise our patients to consume a liquid-only diet for a day or two after surgery. Mouth care is also important to ensure healthy healing of the incision. You will be advised to use an alcohol-free mouthwash to help reduce the risk of infection. Patients can go back to their daily activities within 5-7 days after surgery. Discomfort is usually minimal and easily controlled with adequate pain medication. We advise our patients to avoid strenuous exercise, avoid bending over and to sleep in an elevated position of the upper body in order to control post-operative swelling and protect your healing incisions.

When will I see the final result?

You will be able to appreciate the new contours of your cheeks immediately after your buccal fat removal procedure. During the first 24 hours after your surgery some swelling will appear which will obscure the result for the first days. Results are considered final after approximately 2-3 weeks, when residual swelling has subsided.

Will I have noticeable scars after buccal fat removal surgery?

Incisions are placed inside your mouth, so there are no external scars to be seen. Oral mucosa heals with very limited scar formation. As the scar inside your mouth continues to mature it will become barely noticeable.

What can complement buccal fat removal surgery?

Other beneficial procedures that can complement buccal fat removal surgery include, fat transfer, lip lift, face lift, or neck lift.

In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.