Buccal Fat Removal

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.