In some people, the amount of this fat is greater than average due to genetic factors. Concentrated mainly in the lower portion of the cheeks, this excess can alter the natural facial contour — giving the appearance of fuller cheeks even at a healthy body weight.
Prices of procedures
vilnius
kaunas
Vilnius
from 1 300,00 €
Kaunas
from 1 300,00 €
Bichat fat removal
vilnius
kaunas
Vilnius
from 1 300,00 €
Kaunas
from 1 300,00 €
What is buccal fat?
Buccal fat is a specific fat structure located in the cheek area. Unlike the general subcutaneous fat layer, which changes with body weight, buccal fat is less affected by fluctuations in weight or diet.
Its functions include:
- Balancing and cushioning facial muscle movement.
- Protecting neurovascular bundles.
- Supporting the sucking mechanism in infants during feeding.
Who is buccal fat removal for?
Buccal fat removal is suited to those who want a narrower, more defined facial oval. Genetically determined fullness in the cheeks — unaffected by changes in body weight — can cause aesthetic concerns when:
- The face continues to appear fuller even after weight loss.
- Facial lines lack definition.
- The cheeks appear disproportionately full.
- The lower jaw looks comparatively larger.
- A visually lower cheekbone line makes the face appear older.
The procedure is performed on both men and women and is most commonly carried out at an older age. It is also frequently combined with other corrections to further define and rejuvenate the face — such as chin liposuction, a facelift, or similar procedures.
How the buccal fat removal procedure works
The procedure is typically performed under local anaesthesia, though general anaesthesia is also available upon request. General anaesthesia is particularly relevant when buccal fat removal is planned as part of a more complex combined procedure.
Depending on the individual case, the surgeon selects the most suitable approach. Buccal fat removal is primarily performed using the internal incision method. An external incision method is typically only used when combined with other procedures.
Internal incision method
Incisions are made on the inside of the cheeks — small cuts of approximately 4–5 mm in the oral mucosa. Through these, the surgeon separates and removes a portion of the fatty cheek tissue. The incision sites are closed with dissolvable sutures that do not need to be removed.
External incision method
When buccal fat removal is performed alongside other procedures — such as a mid-face or full facelift — incisions may be made on the external surface of the face. Modern techniques allow incision placement to be planned in a way that minimises any impact on the overall aesthetic result.
Buccal fat removal is not considered a complex procedure and takes approximately one hour. Some time is spent in the clinic after the operation, but most patients are able to return home the same day.
Preparing for buccal fat removal
A few general preparation guidelines:
- A dental consultation to assess the condition of the teeth and oral cavity is worth arranging beforehand.
- Discussing current medications with the surgeon prior to the procedure is advisable — particularly aspirin or other blood-thinning medications, as well as garlic and ginger supplements.
- Maintaining good oral hygiene is important.
Every case is individual, and these and any other relevant preparation details are discussed during a personal consultation with the plastic and aesthetic surgeon.
Doctors providing the service
Is buccal fat removal painful?
Local or general anaesthesia is used during the procedure, so no pain is felt. Some discomfort and swelling may occur afterwards, similar to the sensation following a tooth extraction. These symptoms are managed with prescribed medication and appropriate aftercare.
Are there any visible scars?
Buccal fat removal does not leave visible scarring. With the internal incision method, all cuts are made inside the oral mucosa and are completely invisible from the outside. The sutures are dissolvable, though in most cases they can also be removed after 14 days.
How long does recovery take?
The result becomes visible once the tissues have healed and swelling has subsided — typically after around 2–3 months. In the initial period, the face may be swollen for around 6–10 days, similar to after a tooth extraction. For the first day after surgery, avoiding facial strain, strong expressions, frequent chewing, or prolonged talking is advisable.
Can it be combined with other procedures?
Yes, buccal fat removal can be combined with other facial procedures. At an older age, it is often paired with additional corrections to maximise facial definition and achieve a more youthful appearance — such as chin liposuction, facial liposculpture, a facelift, and similar treatments.
From what age can the procedure be performed?
Buccal fat removal is most commonly performed on adult patients, typically those 18 years or older, whose facial structure has fully developed, allowing the surgeon to more accurately assess the suitability of the procedure and the likely outcome.
Are the results permanent?
Yes, the effects of buccal fat removal are long-lasting. The final result becomes visible approximately 2–3 months after the procedure. A more defined jawline and a slimmer, more oval facial shape contribute to a more expressive — and in most cases, more youthful-looking — face.
