Buccal Fat Removal Before and After: What to Expect, Results & Recovery -

Buccal Fat Removal Before and After: What to Expect, Results & Recovery

What Is Buccal Fat Removal?

Buccal fat removal is a cosmetic surgical procedure designed to slim the lower cheeks by reducing the size of the buccal fat pads—the natural fat deposits located in the hollows beneath the cheekbones. This fat can give the face a round or “chubby” appearance, even in individuals with a lean physique. The surgery has become increasingly popular in recent years among those seeking a more defined, sculpted facial contour—especially in the age of high-definition selfies and influencer aesthetics.

The goal of the procedure is to enhance facial definition, especially along the cheekbones and jawline. It is commonly chosen by people who feel their face looks too round, puffy, or lacks structure. Buccal fat removal is sometimes referred to as:

Cheek reduction surgery
Facial fat pad extraction
Lower cheek liposculpture

Understanding Buccal Fat and Its Role in Facial Structure

The buccal fat pad is a deep pocket of fat that sits between facial muscles on each side of the face. It plays a role in giving the cheeks their volume and shape. In infants, this fat helps with breastfeeding; in adults, its function is more aesthetic than biological.

Buccal fat volume varies from person to person and is largely genetic, meaning diet and exercise often have little effect. People with larger buccal pads may notice that their face appears fuller or wider, especially in the lower cheek area.

Table: Comparison of Buccal Fat Size by Age Group

Age Group	Buccal Fat Prominence	Notes
Teens	Moderate to Full	Natural fullness during adolescence
20s–30s	Varies by genetics	Most common age group for surgery
40s+	Typically reduces	Fat pads may naturally shrink with age

Why People Choose to Remove Buccal Fat

People undergo buccal fat removal for a variety of aesthetic and emotional reasons. Some of the most common motivations include:

To achieve a slimmer, more contoured face
To reduce the appearance of “chipmunk cheeks”
To highlight cheekbones and the jawline
To achieve a more mature or angular look
To balance facial proportions

In an era where facial aesthetics are central to online identity, the desire for sculpted cheekbones and a V-shaped face has surged. According to the American Society of Plastic Surgeons, buccal fat removal is one of the fastest-growing facial procedures in the 2020s.

Is Buccal Fat Removal Right for You?

Buccal fat removal isn’t for everyone. It’s important to consult a board-certified facial plastic surgeon to determine if you’re a good candidate. Typically, ideal candidates are:

Physically healthy and at a stable weight
Non-smokers
Individuals with round, fuller cheeks
Those with realistic expectations about the outcome

However, there are situations where buccal fat removal is not recommended, including:

People with naturally narrow or hollow faces
Individuals over age 45 (due to age-related fat loss)
Anyone expecting dramatic changes or instant results
People prone to body dysmorphia or unrealistic beauty standards

A consultation will usually involve facial analysis, a medical history review, and a discussion about goals. Some surgeons may use 3D imaging to help simulate results.

Expert Quote

“Buccal fat removal can beautifully enhance facial balance when done conservatively. But over-removal can create a hollowed look that prematurely ages the face.”
— Dr. Jennifer Levine, Facial Plastic Surgeon, NYC

Relevant FAQs for This Section

What is the buccal fat pad?
The buccal fat pad is a deep pocket of fat located in the lower cheeks that influences facial fullness.

Can I lose buccal fat through diet or exercise?
No. Buccal fat is resistant to weight changes and is determined largely by genetics.

Is buccal fat removal the same as cheek liposuction?
No. Buccal fat removal targets a specific fat pad inside the cheek, while liposuction removes fat more generally from under the skin.

Buccal Fat Removal Procedure Explained

Buccal fat removal is a relatively straightforward outpatient procedure, typically performed by a board-certified plastic surgeon or facial cosmetic specialist. While it may seem like a minor adjustment, the surgery requires precise technique and an understanding of facial anatomy to avoid complications and ensure natural-looking results.

What Happens During the Surgery

The procedure typically lasts 30 to 60 minutes and is done under local anesthesia, though some patients may opt for sedation depending on their comfort level or if the surgery is combined with other facial procedures (like chin lipo or a facelift).

Here’s a step-by-step breakdown of what happens:

Anesthesia: The patient is given local anesthesia inside the mouth to numb the area.
Incision: A small incision (about 1–1.5 cm) is made on the inside of each cheek—no external scars are left.
Fat Removal: The surgeon gently presses on the cheek to expose the buccal fat pad and removes the appropriate amount based on facial structure and goals.
Closure: The incisions are closed with dissolvable sutures.

Because the incisions are intraoral (inside the mouth), there’s no visible scarring, and most patients go home the same day.

Is Buccal Fat Removal Permanent?

Yes—once removed, buccal fat pads do not grow back. However, gaining or losing weight after surgery can still affect your overall facial fat distribution. It’s important to remember that while the results are permanent, the appearance may change subtly with age-related volume loss or significant weight changes.

Is It a Safe Procedure? Risks and Side Effects

Buccal fat removal is considered a safe and low-risk procedure when performed by a qualified professional. However, as with all surgeries, there are potential risks:

Swelling and bruising
Infection (especially if post-op oral care is poor)
Asymmetry
Damage to facial nerves or salivary ducts (rare)
Over-removal leading to a gaunt or hollowed appearance

Surgeons stress the importance of moderation—removing too much buccal fat can age the face over time, especially as natural fat diminishes with age. This is why many top surgeons recommend a conservative approach.

Data Point: According to a study published in the Aesthetic Surgery Journal (ASJ), over 90% of patients who underwent buccal fat removal reported satisfaction with their facial contour improvements, especially when the surgery was performed conservatively and tailored to individual facial anatomy.
Source: Aesthetic Surgery Journal, Oxford Academic

Post-Op Recovery Essentials (Preview for Next Section)

While the procedure is minimally invasive, recovery plays a critical role in the final results. Most patients experience swelling for 1–2 weeks, with visible results appearing in 4 to 8 weeks. We’ll cover the complete recovery timeline and before and after results in the next section.

FAQs About the Buccal Fat Removal Procedure

Does buccal fat removal hurt?
Most patients report mild discomfort and tightness for a few days. Pain is usually well-controlled with over-the-counter medications.

Will I be awake during the procedure?
Yes, in most cases. Buccal fat removal is performed under local anesthesia, so you’ll be awake but won’t feel pain in the area.

Can the fat grow back later?
No, once the buccal fat is removed, it does not regenerate. However, facial appearance may still change with age and weight fluctuations.

Buccal Fat Removal Before and After: Real Results

Seeing buccal fat removal before and after results is one of the most effective ways to understand the transformation this procedure can create. Patients typically seek a more sculpted, V-shaped lower face and better cheekbone definition — and while the change may appear subtle in photos, it often leads to a dramatically enhanced facial contour in person.

This section breaks down what to expect before and after the procedure, how the recovery unfolds, when final results become visible, and why every result is unique to the individual.

What to Expect Before Surgery

Before undergoing buccal fat removal, patients must complete a preoperative consultation with a board-certified plastic surgeon. During this session, your surgeon will evaluate your:

Facial structure and fat distribution
Age-related volume loss risk
Medical history
Aesthetic goals

You’ll likely be asked to avoid blood-thinning medications, such as aspirin or ibuprofen, for 7–10 days before the procedure. Smoking and alcohol should also be avoided pre-op and post-op, as they impair healing.

Surgeons may also take baseline photos from multiple angles to track your before and after progression.

What to Expect Immediately After Surgery

Most patients report that the initial recovery feels like mild pressure or soreness in the cheeks. Here’s what to expect in the first 48–72 hours:

Moderate swelling, especially in the lower cheeks
Mild bruising around the jawline (less common)
A sensation of tightness in the mouth or cheeks
Difficulty eating spicy or hard foods
Low-grade pain controlled with over-the-counter medications

Surgeons usually recommend a liquid or soft food diet for 3–5 days to allow the intraoral incisions to heal. You’ll also be given an antibacterial mouthwash to prevent infection.

Recovery Timeline: When Do Results Become Visible?

Healing from buccal fat removal takes several weeks, and the full results may not be visible for 2 to 4 months, once swelling fully subsides and tissues settle. Below is a realistic timeline of what to expect:

Time After Surgery	What You’ll Notice
Day 1–3	Swelling, soreness, soft food diet
Week 1	Most swelling peaks, mild bruising fades
Week 2–3	Cheeks begin to deflate slightly
Week 4–6	Noticeable slimming effect, subtle contouring
Month 2–3	Final results become more apparent
Month 4+	Full healing, defined cheekbones and jawline

According to the American Society of Plastic Surgeons, most patients resume normal activities within a few days, but should avoid intense physical activity for about 2 weeks to allow tissues to settle and reduce swelling.
Source: American Society of Plastic Surgeons

Buccal Fat Removal Before and After Photos: What Do They Show?

Before and after images typically display front-facing and ¾ angle views to show improved cheek contour, reduced fullness, and enhanced jawline definition. Keep in mind that:

Lighting, angles, and facial expressions affect appearance
Swelling may still be present in some “after” shots taken too early
Results vary based on facial shape, skin thickness, and age

Important Note: Always ensure photos you’re referencing are from board-certified professionals and not manipulated with filters or retouching.

Common Expectations vs. Reality

Expectations:

A dramatically thinner face overnight
“Snatched” cheekbones similar to celebrities
Permanent V-line look

Reality:

Results take weeks to months to fully emerge
Most patients experience subtle, natural contouring
Final shape depends on bone structure, skin elasticity, and fat volume

It’s crucial to enter the procedure with realistic expectations. Buccal fat removal enhances existing features—it doesn’t radically change your facial structure.

FAQs About Buccal Fat Removal Before and After

When will I see final results after buccal fat removal?
You’ll begin to see changes in 3–4 weeks, but full results take 2–4 months to develop.

Can I get a preview of what I’ll look like after surgery?
Some surgeons offer digital imaging or 3D simulations, but actual results will vary.

What if I don’t like the results? Can it be reversed?
In most cases, buccal fat removal is not reversible, so it’s important to be sure of your decision. If volume loss occurs over time, dermal fillers or fat grafting may help restore balance.

Will I look older after the fat is removed?
Possibly, if too much fat is removed or if you age into your 40s–50s and lose additional natural facial volume. That’s why conservative removal is strongly advised.

Buccal Fat Removal Results: How the Face Changes Over Time

Buccal fat removal can create a more defined facial contour, enhancing the cheekbones and giving the lower face a slimmer, more angular appearance. However, the extent and aesthetic impact of the change depend on individual factors like bone structure, age, skin elasticity, and overall fat distribution.

Let’s break down how the face transforms in the weeks and months following the procedure—and what long-term changes patients should be aware of.

Slimmer Cheeks and a More Defined Jawline

The most noticeable change after buccal fat removal is reduced fullness in the lower cheeks. This can make:

The cheekbones appear more prominent
The jawline look sharper
The face shape appear longer or more V-shaped

The result is often described as a “chiseled” or sculpted look, which aligns with modern beauty ideals, particularly in aesthetics-obsessed industries like entertainment, modeling, and influencer culture.

Buccal fat removal can also enhance the results of other cosmetic procedures, such as:

Chin liposuction
Jawline contouring with filler
Cheekbone augmentation

Case Study Reference: According to a 2021 article in Facial Plastic Surgery Clinics of North America, when buccal fat removal is performed in conjunction with chin liposuction or dermal fillers, patients often report higher satisfaction scores due to the improved overall harmony of the lower face.
Source: Elsevier / Facial Plastic Surgery Clinics

Can Buccal Fat Removal Make You Look Older Over Time?

This is one of the most common concerns for patients considering buccal fat removal. And the answer is nuanced.

As we age, we naturally lose facial fat, especially in the mid-face and lower cheek areas. Removing buccal fat in your 20s or early 30s may enhance definition now, but could potentially exaggerate age-related hollowing in your 40s and beyond.

Here’s what you need to consider:

Over-removal of fat can lead to a gaunt, sunken look, especially in thinner individuals.
Those with naturally hollow cheeks or low body fat should be cautious.
A conservative approach is recommended to preserve enough volume for youthful facial proportions.

Surgeons often stress that less is more when it comes to buccal fat removal. Some may even turn away patients who are at risk of poor aesthetic aging outcomes.

“Buccal fat removal should never be about chasing a trend. It must be tailored to the patient’s long-term facial harmony.”
— Dr. Paul Nassif, Facial Plastic Surgeon, Beverly Hills

What If You Regret the Results? Can Buccal Fat Removal Be Reversed?

In most cases, buccal fat removal is not reversible, because the fat pad is physically extracted and cannot regenerate. However, there are options for facial volume restoration if a patient feels overly hollowed post-surgery:

Fat grafting: Harvesting fat from another part of the body and injecting it into the cheeks.
Dermal fillers: Hyaluronic acid-based fillers like Juvederm Voluma can restore cheek volume.
Mid-face implants: Rarely used, but possible in severe volume loss.

While these treatments can help, they come with their own risks and may require ongoing maintenance (especially fillers).

This is why careful planning, realistic expectations, and conservative fat removal are essential from the start.

FAQs About Buccal Fat Removal and Facial Aging

Will buccal fat removal affect my smile or expression?
No, when performed properly, the surgery will not interfere with facial muscles involved in smiling or speaking.

Do I need to combine this surgery with fillers or Botox for better results?
Not necessarily, but many patients choose to combine buccal fat removal with other treatments for enhanced facial contouring.

Can facial fat be replaced if too much was removed?
Yes, via fat grafting or fillers, but this is more complex and sometimes less predictable than the original fat structure.

Patient Testimonials and Real-Life Experiences with Buccal Fat Removal

While clinical descriptions and surgical timelines provide a technical understanding, real patient experiences offer unmatched insight into what buccal fat removal actually feels like—physically and emotionally. The decision to undergo this procedure is highly personal, and testimonials can help prospective patients set expectations about results, recovery, and satisfaction.

Let’s explore a range of real-life stories: from those who loved their transformation to those who had regrets or wished they’d taken a different approach.

Positive Transformations: High Satisfaction Among the Right Candidates

Many patients report boosted self-confidence and a newfound appreciation for their facial features post-surgery. When performed on ideal candidates (typically those with naturally full cheeks and stable weight), buccal fat removal can subtly enhance natural bone structure without looking overdone.

Common themes among satisfied patients:

“My cheekbones finally pop now.”
“I love how my jawline looks more defined.”
“People say I look more mature and polished.”

Case Highlight: In a patient review analysis by RealSelf, over 85% of users rated buccal fat removal as “Worth It.” Patients praised not just the physical results, but the quick recovery and minimal scarring.
Source: RealSelf Buccal Fat Removal Reviews

Additionally, when buccal fat removal was performed alongside other procedures like chin lipo or Botox masseter reduction, satisfaction levels were even higher due to overall facial harmony.

Regret Stories: Learning from Mixed and Negative Experiences

However, not all stories are positive. A significant portion of patients have expressed regret, typically for one or more of the following reasons:

Over-removal of fat, resulting in a hollowed or prematurely aged look.
Unrealistic expectations — hoping for a dramatic change when only subtle contouring is possible.
Underestimating how long it takes for final results to settle.
Not accounting for natural fat loss with aging, which compounded the hollowing over time.

Real Testimonial Example (Name Withheld for Privacy):

“I had buccal fat removal at 28. I loved it at first. But by the time I hit 35, my face looked too gaunt. I wish my surgeon had warned me about long-term volume loss. I’ve since had fillers to try and fix it, but it’s not quite the same.”

These experiences reinforce the need to work with a board-certified facial plastic surgeon who can perform a thorough evaluation and recommend a conservative approach. Some surgeons even decline to operate on patients under 25 or with naturally thin faces.

Data Point: A 2022 study published in the Journal of Clinical and Aesthetic Dermatology emphasized the importance of individualized facial assessment and noted that buccal fat removal should not be treated as a “one-size-fits-all” procedure.
Source: JCAD Online

Tips and Advice from Former Patients

Many former patients offer valuable advice for those considering buccal fat removal:

“Consult at least two surgeons.” Every professional has a different philosophy. Compare opinions.
“Ask to see lots of before and after photos.” Ideally with similar face types to yours.
“Be conservative.” You can always remove more later, but you can’t put it back.
“Prepare for the emotional side of healing.” You may feel “puffy” or “off” for weeks—don’t panic.

These first-hand accounts add a layer of realism and humanity to a procedure that’s often glamorized online. They remind us that cosmetic surgery is not just a physical experience—but also a mental and emotional journey.

FAQs About Real Experiences

Are most patients happy with buccal fat removal?
Yes, when performed on the right candidates with realistic expectations, satisfaction rates are high.

How can I avoid regretting the surgery later?
Choose a board-certified surgeon, take a conservative approach, and consider how your face will age over time.

Do most regrets come from botched surgery?
Not necessarily. Most regrets stem from patients not being properly screened or from overly aggressive fat removal.

Buccal Fat Removal vs. Other Facial Slimming Options

While buccal fat removal has gained significant popularity, it’s not the only procedure available to slim or contour the face. Depending on your facial anatomy, aesthetic goals, and age, non-surgical or alternative surgical options may be better suited—or used in combination—with buccal fat removal.

In this section, we compare buccal fat removal to other popular facial slimming procedures to help you make an informed decision.

1. Buccal Fat Removal vs. Chin Liposuction

Feature	Buccal Fat Removal	Chin Liposuction
Target Area	Lower cheeks (under cheekbones)	Under the chin and jawline
Invasiveness	Minimally invasive	Minimally invasive
Anesthesia	Local	Local or general
Recovery Time	7–14 days	7–10 days
Scarring	No visible scars (intraoral)	Tiny scar under chin
Best For	Full, round cheeks	Double chin or undefined jawline

These procedures target different fat compartments, so many patients actually combine buccal fat removal with chin liposuction to achieve a fully sculpted lower face.

“Chin liposuction removes submental fat, while buccal fat removal slims the mid-cheek. Together, they define the entire lower third of the face.”
— Dr. Jason Roostaeian, UCLA Plastic Surgeon

2. Buccal Fat Removal vs. Masseter Botox (Jaw Slimming)

Masseter Botox is a non-surgical option used to slim a wide jawline caused by enlarged masseter muscles (the chewing muscles at the back of the jaw).

Feature	Buccal Fat Removal	Masseter Botox
Target Area	Mid to lower cheek fat	Back of jaw (muscle, not fat)
Duration	Permanent	Temporary (3–6 months)
Procedure Time	30–45 minutes	10–15 minutes
Results Appear	2–4 months	4–6 weeks
Cost (Avg)	$2,000–$5,000	$400–$800 per session

Masseter Botox is ideal for those with a square-shaped jawline from overactive chewing muscles, not fat. Buccal fat removal is for fat-based fullness in the lower cheeks. They serve different purposes.

Clinical Note: A 2023 study published in Plastic and Reconstructive Surgery – Global Open reported a 92% patient satisfaction rate among individuals who underwent combined masseter Botox and buccal fat removal, showing synergy in addressing both muscle and fat volume.
Source: PRS Global Open

3. Buccal Fat Removal vs. Kybella Injections

Kybella is an injectable that dissolves submental fat (under the chin) using a synthetic form of deoxycholic acid.

Feature	Buccal Fat Removal	Kybella
Treatment Area	Cheek fat pads	Chin fat only
Mechanism	Surgical excision	Fat cell destruction via injection
Downtime	Mild swelling, 7–10 days	Swelling, bruising, 5–14 days
Sessions Required	One procedure	2–6 sessions on average
Permanent?	Yes	Yes (for treated fat cells)

Kybella is a non-surgical option for a double chin, but it doesn’t address cheek fullness. Also, it can cause significant swelling for several weeks after each treatment.

4. Buccal Fat Removal vs. Facial Fillers for Contouring

Injectable fillers like Juvederm Voluma or Restylane Contour are used to enhance cheekbones, jawlines, or fill hollows. While buccal fat removal reduces volume, fillers add volume strategically for balance.

Feature	Buccal Fat Removal	Dermal Fillers
Purpose	Subtract volume	Add volume
Longevity	Permanent	Temporary (6–18 months)
Customizability	Limited to natural anatomy	Fully customizable
Risk of Overcorrection	Yes, if too much fat is removed	Yes, if too much filler is added

In some cases, combining both offers the best result—reduce volume where needed and add structure where lacking.

How to Choose the Right Option

Choosing the best facial slimming procedure depends on the underlying cause of fullness, your facial shape, and your long-term aesthetic goals. Consider:

Buccal fat removal if your lower cheeks appear bulky or rounded.
Chin lipo or Kybella if your fullness is under the chin.
Masseter Botox if your jaw is square from strong chewing muscles.
Fillers if you need added volume to define facial angles.

Always consult with a board-certified plastic surgeon or dermatologist who specializes in facial aesthetics for a comprehensive evaluation.

FAQs: Comparing Buccal Fat Removal to Other Procedures

Can I combine buccal fat removal with chin lipo or Botox?
Yes. Many surgeons recommend combination procedures to create better lower face definition.

Which lasts longer: Kybella or buccal fat removal?
Both are permanent, but buccal fat removal achieves results in one session, while Kybella may require multiple treatments.

Is buccal fat removal better than fillers?
They serve different purposes. Removal subtracts volume; fillers add structure. The ideal choice depends on your facial proportions.

Cost of Buccal Fat Removal and Financing Options

Understanding the cost of buccal fat removal is essential for anyone seriously considering the procedure. While pricing can vary significantly depending on geography, provider expertise, and whether it’s combined with other treatments, this section breaks down average costs, what’s included, and your payment and financing options.

How Much Does Buccal Fat Removal Cost?

In the United States, the average cost of buccal fat removal ranges from:

$2,000 to $5,000 per procedure

This range reflects pricing across cities and surgical practices. In large metropolitan areas like New York, Los Angeles, or Miami, costs may reach the upper end due to higher overhead and surgeon reputation.

According to the American Society of Plastic Surgeons (ASPS), the national average surgeon’s fee alone for facial contouring procedures is approximately $3,200, but this does not include anesthesia, facility fees, or post-op care.
Source: American Society of Plastic Surgeons

What’s Included in the Price?

A standard buccal fat removal fee typically covers:

Surgeon’s fee
Preoperative consultation
Local anesthesia
Facility and equipment use
Postoperative care and follow-up appointments

Make sure to ask for an itemized quote during your consultation, as some clinics bundle these costs while others charge separately.

Factors That Affect Cost

Several variables impact how much you’ll pay for the procedure:

Surgeon’s Experience
Highly experienced or in-demand surgeons typically charge more due to their skill and track record.
Location of Practice
Cosmetic surgery costs tend to be higher in urban or coastal cities and lower in mid-sized towns or rural areas.
Anesthesia Type
While buccal fat removal is often performed under local anesthesia, choosing IV sedation or general anesthesia increases total cost.
Combination Procedures
If done alongside chin liposuction or filler injections, expect additional fees.
Facility Accreditation
Accredited surgical centers may cost more but provide safer, standardized environments.

Is Buccal Fat Removal Covered by Insurance?

In almost all cases, no — buccal fat removal is considered an elective cosmetic procedure, and therefore not covered by insurance. Exceptions are rare and usually apply only if the fat is being removed as part of a reconstructive surgery due to trauma or congenital defect.

Financing Options for Buccal Fat Removal

If the out-of-pocket cost feels high, don’t worry. Many clinics offer flexible payment plans and financing options to make the procedure more accessible.

Popular financing choices include:

CareCredit: A medical credit card accepted by most cosmetic surgeons. Offers 6–24 month interest-free plans depending on credit.
Alphaeon Credit: Designed specifically for elective procedures, with promotional 0% financing offers.
In-house payment plans: Some clinics offer internal financing or allow you to pay over several months with a deposit.

Before committing to financing, ask these questions:

What is the APR or interest rate?
Are there prepayment penalties?
Is approval based on credit score or income?

You can use payment calculators on medical financing websites to estimate monthly payments based on your desired budget.

Is It Worth the Investment?

Ultimately, buccal fat removal can be a worthwhile long-term investment for patients seeking permanent facial contouring. Unlike fillers, which require regular touch-ups, buccal fat removal is one-time and permanent—which may save money over the years.

“While upfront costs may seem high, the long-term value lies in the permanency of the results and increased confidence many patients report.”
— Dr. Steven Pearlman, Facial Plastic Surgeon & Former President of AAFPRS
Source: AAFPRS – American Academy of Facial Plastic and Reconstructive Surgery

FAQs: Cost and Payment for Buccal Fat Removal

How much does buccal fat removal cost on average?
Most patients pay between $2,000 and $5,000, depending on the surgeon and location.

Can I finance the procedure even with average credit?
Yes, companies like CareCredit and Alphaeon Credit work with a wide range of credit scores.

Is it cheaper to have this done overseas?
Possibly, but be cautious. Medical tourism carries higher risks, especially for post-op complications or follow-up care.

Is Buccal Fat Removal Right for You?

Deciding whether to undergo buccal fat removal comes down to understanding your facial anatomy, long-term goals, and having realistic expectations. This procedure isn’t for everyone — but for the right candidate, it can offer a powerful transformation that enhances natural features in a subtle, refined way.

Ideal Candidates:

Have genetically full or rounded cheeks (often described as “baby face”)
Are at or near their ideal weight
Have good skin elasticity
Are seeking permanent contouring
Are non-smokers and generally healthy

Not Ideal Candidates:

Are under 20–25 years old (fat pads are still developing)
Have thin, narrow, or aging faces
Expect a dramatic overnight change
Want a reversible or temporary procedure

If you fall into the ideal candidate category and have done your research (which you just have), buccal fat removal may be a smart and satisfying choice.

Always start with a consultation with a board-certified plastic surgeon, ideally someone with extensive experience in facial anatomy and conservative fat removal techniques.

“The best results in buccal fat removal come from restraint. Removing just enough fat to enhance the face — not to reshape it entirely.”
— Dr. Andrew Jacono, MD, FACS

Frequently Asked Questions (FAQs)

Here are the most frequently asked questions about buccal fat removal before and after results, cost, safety, and more — all optimized for Google’s People Also Ask (PAA) and AI search engines.

How long does buccal fat removal take to heal?

Initial swelling resolves in 7–10 days, but final results appear in 2–4 months once tissue settles and residual puffiness fades.

Does buccal fat removal make you look older over time?

It can — especially if too much fat is removed or if you age into significant facial volume loss. That’s why a conservative approach is crucial.

Is buccal fat removal permanent?

Yes. Once the buccal fat pad is removed, it does not grow back. The result is permanent, but your face will continue to age naturally.

What does buccal fat removal look like before and after?

Patients typically see slimmer cheeks, enhanced cheekbones, and a more contoured jawline. The results are subtle but noticeable — often described as “naturally sculpted.”

Can buccal fat removal be reversed?

No, the fat pad cannot be replaced once removed. If overdone, fat grafting or fillers may be used to restore lost volume.

Is buccal fat removal safe?

Yes, when performed by a board-certified facial plastic surgeon. It’s a low-risk, outpatient procedure with minimal downtime and complications.

What’s the difference between buccal fat removal and filler?

Buccal fat removal removes volume, while fillers add volume. In some cases, they are used together to balance facial contours.

How much does buccal fat removal cost?

On average, $2,000 to $5,000 in the U.S., depending on surgeon experience, location, and whether you combine it with other procedures.

Can I finance buccal fat removal?

Yes. Providers often accept CareCredit, Alphaeon Credit, and offer payment plans over 6–24 months.

What’s the best age for buccal fat removal?

Typically 25 to 40, when facial fat pads have fully matured but before significant age-related volume loss begins.

Conclusion: What to Remember About Buccal Fat Removal Before and After

Buccal fat removal isn’t a passing trend — it’s a legitimate facial contouring procedure that, when done right, can dramatically enhance your appearance in a subtle and sophisticated way.

Key Takeaways:

It’s a permanent procedure, so choose your surgeon carefully.
Results take time — be prepared to wait 8–12 weeks for full effects.
Combining with chin lipo, filler, or Botox can elevate results.
Costs typically fall between $2,000–$5,000, and financing is available.
Review before and after photos and patient stories to set realistic expectations.

Final Tip: Always consult with a board-certified facial plastic surgeon. Ask about long-term facial aging, and choose a provider who prioritizes balance and restraint over aggressive fat removal.