Buccal Fat Removal: Ask an Expert

Buccal OnabotulinumtoxinAAbobotulinumtoxinAIncobotulinumtoxinAPrabotulinumtoxinALetibotulinumtoxinARimabotulinumtoxinBHyaluronic Acid FillersCalcium Hydroxylapatite FillersPoly-L-lactic Acid FillersPolymethylmethacrylate FillersAutologous Fat GraftingForehead Lines TreatmentGlabellar Frown Lines TreatmentCrow’s Feet TreatmentBunny Lines TreatmentChemical Brow LiftLip FlipGummy Smile CorrectionMasseter ReductionJaw SlimmingDimpled Chin SmoothingCobblestone Chin SmoothingNefertiti Neck LiftMicro-BotoxMesotoxHyperhidrosis TreatmentChronic Migraine ReliefBruxism TreatmentTMJ TreatmentCervical Dystonia TreatmentNeck Spasm TreatmentBlepharospasm TreatmentLip AugmentationLip ContouringCheekbone EnhancementTear Trough FillersNasolabial Fold SofteningMarionette Line FillersLiquid RhinoplastyNon-Surgical Nose JobJawline ContouringJawline DefinitionChin AugmentationTemple VolumisingHand RejuvenationAcne Scar Subcision Filling removal is the new surgery ‘trend’ that’s gone viral on TikTok, but is it safe? , discusses some of the most questions that have come up in the past few weeks as this surgery has started to gain traction. Here’s you need to know.

What is buccal fat is and what purpose it serves in the face?

Buccal fat is a fat mass located on either side of the mouth between facial . It’s more prominent in some people than others. Its exact purpose isn’t known, but there are theories that it is there to serve as a cushion to facial muscles and/or teeth.

What exactly is buccal fat removal?

Buccal fat removal is essentially what it says on the tin. It involves removing part of the fat from the buccal fat pad – tissue that is deep within the cheek. The reason some people opt for this is to give a more appearance, with more definition around the cheek bones.

Why do you think this procedure has gained popularity in recent years?

Social media and filters in particular, have had a big impact. I this type of surgery with some of the other ‘trend’ that has done the rounds over the past few years i.e. fox eye lifts etc, which again, has been by social media. It’s also gained as a few celebrities have mentioned that they’ve had the . I believe  shared with her followers on Instagram that she’d had the last year.

What does the surgery involve?

If it’s being done as a stand alone procedure, an would be made on the inside of the cheek and the fat would be . I’m not a fan of doing it this way as you can risk nearby structures such as your glands and nerve endings etc. I don’t it as a standalone procedure.

How long does the surgery take to do?

I can’t really comment as it’s not I choose to do . I would it would take about an hour and it would be done under local .

How safe is the procedure and what are the potential risks?

If being done as a procedure, you can risk damaging nearby on the inside of the mouth. I don’t think it should be on its own, especially in young people. As you age, you lose fat in the face and this is why people have face lifts and fat as they get older. If you remove a lot of fat from the face when is young, you have no idea how they will age, as fat depletes with age anyway. There is a risk that it could give a skeletal appearance.

I do perform buccal fat removal if I’m doing a face lift on . Face lift are older and you can already see where they’ve lost volume in the face. In addition, when you do buccal fat removal as a stand alone procedure, you can’t actually see the fat pad as a whole, so you can’t tell how big/small it is. With a face lift however, you can see the whole area so you know exactly how much buccal fat you’ve got to work with. It is much more controlled this way.

The key thing to note with buccal fat is that once it’s gone, it’s gone. If it’s not done and in a specific way, then you can risk premature ageing. In all it’s not a procedure I do often because the vast majority of people won’t be the right candidate. It’s too unpredictable in the long term.

Is there an ideal candidate for buccal fat removal? E.g. more rounded facial structures?

There isn’t, I’m afraid. It’s very much a case by case and I will only do it in an older who I think would from it as part of a wider face lift surgery.

What do you think of this trend and is there an alternative way to achieve a more sculpted, chiselled cheek contour?

I think a full facial assessment by an practitioner is if it’s something you’re considering. It may be that what you’re after can be with injectables, or there might be a completely different that would be more suitable altogether.

In terms of my own personal opinion, I think this is one of those fad trends. You really don’t know what you’re yourself up for if you have this done when you’re younger. I’d also be that the cheekbones is very much a trend – what if the trend changes and fuller cheeks come back in vogue?

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