Buccal Fat Reduction

In our formative years, the fat deposits that give us those adorable round baby cheeks usually diminish, yielding to a more sculpted and defined adult face. When these fat deposits, known as buccal fat pads, fail to recede on their own they can be reduced through a process known as buccal (pronounced “buckle”) fat reduction, “bichectomy,” or buccal fat removal.

The buccal fat pads are encapsulated fat deposits located on either side of the face beneath the first layer of fat that forms the cheeks. It is these fat deposits, when too large, that create the appearance of overly-prominent nasiolabial folds (the creases that run from either side of the nose to either side of the mouth). Over developed buccal fat pads can also make one appear overweight and tired.

If you have full, overly-round “chipmunk” cheeks, our buccal fat reduction may be the procedure for you. This simple and relatively rapid, procedure can help you to achieve a naturally sculpted and slimmer facial appearance that will have people asking what your what your weight loss secret is.

Frequently asked questions

  • Buccal fat reduction can be safely performed under local or general anesthesia depending on the patient’s preference. Oral sedation can be given for in-office procedures at the patient’s request.

  • Studies show that on average, 3cc of fat are removed from each cheek. Bichat’s fat pad extends all the way up to the temple so complete removal is neither possible nor recommended.

  • While buccal fat removal is generally well-tolerated, some risks are associated with any surgery, such as infection, bleeding, asymmetry, nerve injury, or a reaction to medications administered.

  • The fat removed during your surgery cannot return. However, the remaining tissue will continue to change naturally with age and weight change.

  • Each patient’s recovery is different, but many patients can return to work the day after surgery. However, a more extended period away from work may be necessary for patients with physically active jobs.

  • Although buccal fat removal is a surgical procedure, the surgery and recovery are both tolerable for most patients. Local anesthesia allows for the simple and painless removal of excess fat, and the mouth’s ability to heal quickly contributes to a generally easy recovery. Many patients need no pain medication beyond Tylenol during their recovery.

  • Unfortunately, the buccal fat is not metabolically active, so excessive buccal fat typically remains even in conditions of extreme weight loss or advanced age. The only way to remove excess buccal fat effectively is through surgery.