BLOG: BUCCAL FAT REMOVAL NYC
Blog about bucal fat removal NYC questions and answers by Dr. Mesa
After attempting buccal fat removal, I had an abscess in my left cheek (right in photo) and had to be drained. (Photo)
I ended up with chipmunk face with loss of volume on the side affected by the abscess (right in photo). I went again for buccal fat removal, but I am still unhappy with the asymmetry in my face. My left cheek (right in photo) it's still much more smaller than the right side (left in photo). I would like to even out. I would like to know if superficial liposuction to my right cheek is an option. Or should I go for fat transplant/filler to the one that has lost volume?
Dr. Mesas answered: Infection is the number 1 risk of buccal fat removal or any other plastic surgery procedure. When an abscess forms in the cheeks, the gold standard treatment is drainage of it.
Swelling of the cheeks post abscess drainage could last for at least 6 months. Therefore, the face may look asymmetric until then. Thus, it is no recommended to undergo any other cheek procedure (eg fat transfer) to achieve a more symmetric face until the swelling has been resolved.
Patients who are not completely satisfied with buccal fat removal are usually in their 30s and above, have not good cheek bones, and their cheek bones were not enhanced before or at the time of the buccal fat removal. High cheek bones are the key to have a great buccal fat removal result
I am considering getting buccal fat removal to thinner the lower part of my face but am concerned about whether the results could make it worst or not?
Dr. Mesas Answered: Patients who would like to thinner the lower part of their face could benefit from buccal fat removal.
Buccal fat removal is the cosmetic plastic surgery procedure that decreases the fullness of the lower ANTERIOR cheeks ( chubby cheeks). When performed in patients with good cheek bones, the patients achieve a contoured V shape, chiseled facial look.
It is important to know that buccal fat removal does NOT decrease the fullness of the lower POSTERIOR cheek. In this area there is no buccal fat pads. Very commonly, the fullness of the lower POSTERIOR cheek is caused by enlarged masseter muscles ( chewing muscle). Botox treatment of the masseter muscle, makes these muscles to shrink, thus enhancing the results of the buccal fat removal.
Hello, I have always had a round face. I am wondering what would help most to make my face more oval. Thanks
Dr. Mesas Answered: Patients with round faces, secondary to chubby cheeks, that also have great prominent high cheek bones could benefit from buccal fat removal to achieve a thinner more sculpted, chiseled, v-shape facial look. Buccal fat removal is routinely performed in my practice under local anesthesia as an office outpatient procedure. The downtime is usually minimal and the results are long lasting.
I'm unhappy with the shape of my face, esp. the lower half. I'm unsure of which procedure to do, any suggestions?
Thinking there may be asymmetry? I've gotten suggestions of buccal fat removal (but worried this removes some youthful fat?) and cheek injections with Voluma (interesting but concerned this might make my face rounder?). I'd like a more longer V shape and a contoured look. less surgery is better. Are one of those two procedures my best option? Is there a way to contour my and elongate my chin/jaw line and is that even recommended in comparison? I have had a chin implant in the past as you can maybe see from the profile view.
Dr. Mesas Answered:
Young patients that are unhappy with the lower have of the face ( who have weak cheek bones and chubby cheeks) could potentially benefit from two Plastic surgery procedures: Buccal fat removal and cheek bone augmentation with fillers.IF in a young patient there is mild sogginess of the skin in the lower face, that is an indication that the cheek bones are weak. Therefore they should be enhanced with either fillers like voluma or cheek implants.
If a young patient has chubby cheeks that get works while smiling, then buccal fat removal would address that fullness. When combined with cheek bone augmentation it helps to achieve a V shape chiseled face.
I have recently been grinding my teeth a lot and notice a clicking sound of my right jaw when I yawn. I question whether I’ve developed TMJ as my cheeks feel sore. In pictures I have recently noticed my cheeks look large. Is this fat or masseter hypertrophy? what are the treatment recommendations?
Dr. Mesas Answered: Fullness of the lower cheeks are caused by either enlarged buccal fat pads ( most common cause) or enlarged masseter muscles ( less common).
Chubbiness caused by enlarged buccal fat pads is located in the ANTERIOR lower cheeks.
Chubbiness caused by enlarged (hypertrophic) masseter muscles is located in the POSTERIOR lower cheek.
Treatment of the fillies of these tow distinct lower cheek areas is different. The enlarged anterior lower cheek is usually treated with buccal fat removal. The enlarged posterior lower cheek is usually treated with serial injections of Botox.
I'M NOT SURE BUT I THINK THAT I NEED TO DO BUCCAL FAT REMOVE OP.AM I RIGHT? BUT I'M AFRAID THAT MY LOWER CHEEK MAYBE SAG DOWN.PLEASE HELP ME.AND ALSO I LIVE IN IRAN AND HERE IN MY CITY DOCTORS DIDN'T EVEN HEARD ABOUT THIS OP. I KNOW JUST A DOCTOR IN TEHRAN THAT DOES THIS OP BUT HE HAS NOT ENOUGH REVIEWS AND BEFORE AFTER PICS.SO IF YOU CAN INTRODUCE A GOOD DOCTOR I WILL BE SO HAPPY AND THANKFUL
I am 29 now but My face has always been chubby and round and I am considering Buccal Fat Excision. Is this the right procedure for me? Thank you
DR. MESA'S ANSWER:
ReportYoung patients with asian background features and chubby cheeks are usually excellent candidates for buccal fat removal. The video below helps to understand who could be a candidate for buccal fat removal.
John Mesa, MD
Buccal Fat Removal Specialist Plastic Surgeon
Buccal Fat Removal Patient Question:
I am a 19 year old male and I am considering having buccal fat removal. I don't want a lot of fat to be removed but I would like to have a slimmer facial appearance. Would I be eligible for this procedure?
Doctor Mesa’s answer:
Young male patient who have chubby cheeks and good cheek bones are usually excellent candidates for buccal fat removal.
Buccal Fat Removal helps permanently corrects the fullness of the lower anterior cheeks ( chubby cheeks). In male patients who are young and have great cheek bones, the proceed helps to achieve a more chiseled, V shape, more masculine facial look. The video below helps to understand who could be a candidate for buccal fat removal.
POTENTIAL PATIENT QUESTION:
I’d like to create a more defined face , I genetically have slightly chubby cheeks and feel like I don’t have much definition in my face. I was considering buccal fat removal , or a chin implant or both but not sure if I should go with one of those or something else.
DOCTOR MESA'S ANWER:
Patients with chubby cheeks that would like achieve a more defined face most of the time could benefit from buccal fat removal.
Buccal fat removal is the plastic surgery procedure that permanently removes the fullness of the lower anterior cheeks, thus helping to achieve a more thin chiseled facial look.
Very often in order to achieve a very defined face, it is necessary to have also a well defined jaw line. Therefore, in patients with not well defined jaw, specially angle of the jaw, this area could be enhanced with soft tissue fillers like Voluma to achieve a strong chiseled facial look, which greatly complements the buccal fat removal results.
Would buccal fat removal help get rid of my chubby cheeks? Is there a procedure for the upper cheek as well?
Buccal fat removal? I have always had chubby cheeks. In the photo I weigh 130 lbs at 5'7" it seems. O matter what I weigh, i always have these huge cheeks!! My question is for both the upper and lower cheeks? Upper around the outer edges of my eyes is so puffed up and rounded!! What can I do so I don't look like a chipmunk? Buccal fat removal? As I age I am finding that I am getting jowls also. Would buccal removal help with this also? Suggestions welcomed!
DR. MESA'S ANSWER:
Buccal fat removal is a plastic surgery procedure that improves the fullness of the LOWER anterior cheek.
Buccal fat removal does NOT improve the fullness of the UPPER cheek since in that area there is not buccal fat.
Fullness of the upper cheeks could be improved with decreasing the overall percentage of body fat (%BF) with exercise and diet.
John Mesa, MD
Harvard Trained and Triple Fellowship Trained
Board Certified Colombian Cosmetic Plastic Surgeon
Buccal Fat Removal Specialist
New York City - New Jersey
NYC: (212) 203 7745
NJ: (973) 486-4862