What is Buccal Fat Removal and How is it Done?

One of the most frequently preferred aesthetic procedures by those who want to make facial features more defined and reduce the full appearance of the cheeks is buccal fat removal. Commonly known as “cheek slimming surgery” or “Hollywood cheek,” this operation aims to highlight the cheekbones while giving the face a slimmer and more contoured appearance. Despite being a surgical procedure, buccal fat removal can be completed in a short time under local anesthesia, and in recent years, it has gained popularity among both women and men.

What is buccal fat removal? For what purpose is it done?

Buccal fat removal is the surgical removal of the buccal fat pads located inside the cheeks. The main goal is to make the facial features more defined, achieving a slimmer, sharper, and more triangular facial form. It especially helps bring the cheekbones forward, providing a more proportionate and aesthetically pleasing appearance. In addition to improving appearance, buccal fat removal is preferred by individuals who want their face to be perceived as more refined.

Who is a suitable candidate for buccal fat removal?

Buccal fat removal is suitable for individuals who have structurally full cheeks, seek more definition in their facial features, and have a round-looking face. It generally yields better results in individuals over the age of 20, with good skin elasticity, and at an ideal weight. It may not be a suitable procedure for those whose face is already thin, older individuals, or those with skin sagging.

How is buccal fat removal surgery performed?

Buccal fat removal, also known as cheek slimming surgery, is usually performed under local anesthesia and takes about 30–45 minutes. Through small incisions of 1–2 cm made inside the mouth on the cheek mucosa, the buccal fat tissue is accessed and carefully removed. The incision site is then closed with hidden sutures. Since it is performed from inside the mouth, no visible scar remains on the outside.

Recovery process after buccal fat removal and things to consider

The recovery process is generally quick, but swelling, mild pain, and puffiness in the cheeks may occur in the first days. It is important to maintain a liquid-based diet during the first week, pay attention to oral hygiene, and use mouthwash as recommended by the doctor. It usually takes 1 to 3 months for the swelling to completely subside and the facial features to settle.

What are the advantages of buccal fat removal?

• Defines the facial features and highlights the cheekbones
• Provides permanent results
• Leaves no scar as it is performed from inside the mouth
• Is completed in a short time and does not require hospital stay
• Makes the face look slimmer and more proportionate
  

Is buccal fat removal permanent?

Yes, buccal fat removal is a permanent procedure. Once the buccal fat pads are removed, they do not grow back. However, fullness in the face may reoccur due to weight gain. Therefore, maintaining an ideal weight is important for the long-term effect of the procedure.

Does the facial expression change after buccal fat removal?

If performed correctly, the procedure does not cause an artificial or expressionless change in the face. On the contrary, the face gains a fresher, more proportionate, and aesthetically pleasing appearance. However, removing too much fat or performing the procedure on an unsuitable facial structure can result in the person having an older or sunken appearance. Therefore, pre-procedure evaluation is of great importance.

Buccal fat removal or dermal filler for facial contouring?

Both methods are effective in contouring facial features, but they serve different purposes. Buccal fat removal slims the face and makes the features more defined, while fillers are used to add volume and highlight certain areas. In some cases, both methods can be combined. Which procedure is appropriate should be determined based on the person’s facial structure and aesthetic goals.

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