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What does buccal fat removal aim to change?
The buccal fat pad lies deep within the cheek. Removing a limited amount may reduce lower cheek fullness. The operation is not a weight loss treatment and does not change the underlying bones or every aspect of facial proportions.
Which facial features are assessed?
Assessment may be appropriate for adults in suitable general health who have pronounced cheek fullness. Facial width, existing volume, asymmetry and expectations are considered together.
Removing fat from a thin or low-volume face may create unwanted hollowing. Because facial volume can decrease with age, removing more fat is not necessarily better. Choosing not to have surgery is also discussed.
How is the operation planned and performed?
Medical history, medicines and an examination inside the mouth help determine the planned amount of tissue removal. Local anaesthesia may be used; sedation or general anaesthesia depends on individual needs and any combined procedures.
The fat is accessed through small incisions inside the mouth. These are usually closed with dissolvable stitches. Discharge depends on the postoperative assessment and the type of anaesthesia.
What matters in the first few days?
Swelling and tenderness can occur initially. Follow the prescribed guidance on food, oral hygiene, medicines and appointments. Soft foods may be advised at first; if cold compresses are recommended, the team explains how to use them.
When can the outcome be assessed?
The cheek contour becomes clearer as swelling settles; assessment may extend over about three months. Timing varies. As the removed fat is not replaced, the decision needs to consider the longer term. Weight changes and ageing continue to affect the remaining facial tissues.
What are the possible risks and limitations?
Possible complications include bleeding, infection, anaesthetic problems, asymmetry and excessive hollowing. Facial nerve branches or the salivary duct may be affected. These possibilities and the limits of surgery are discussed before treatment; a particular facial appearance cannot be guaranteed.
Results of any surgical or interventional procedure may vary from person to person.
The information on this page is for general information only and does not replace an examination, diagnosis or treatment. The right approach for you is decided after a consultation.
Frequently asked questions
Is buccal fat removal suitable for every round face?
No. The cause of cheek fullness, facial proportions and possible age-related volume changes need assessment. Surgery may be unsuitable for a thin or low-volume face.
Will my face stay unchanged after buccal fat removal?
The removed tissue is permanently reduced, but weight changes and ageing continue to affect the face. The appearance should not be expected to remain identical throughout life.
Will there be an incision on my face?
The incisions are inside the mouth; the usual approach does not involve a cut on the cheek skin. Oral wound healing and aftercare still matter.
When will the cheeks approach their settled appearance?
The appearance changes as early swelling subsides. Assessment may be possible around three months, although recovery time and the outcome vary between individuals.
