Buccal Fat Removal
Surgical removal of the deep cheek fat pad to create a more hollow midface. Irreversible.
Buccal fat removal is a surgical procedure that extracts part of the buccal fat pad, a discrete pocket of fat deep in the cheek, to produce a more sculpted, hollow look beneath the cheekbone. It became heavily trend-driven through social media. The important clinical point is that it is permanent and that facial fat naturally declines with age: removing volume in your twenties can contribute to a gaunt, prematurely aged appearance in your forties, and adding volume back is considerably harder than taking it out.
It is one of the most requested procedures in this space and one of the most regretted, largely because the aesthetic it produces is fashionable rather than timeless and the decision cannot be undone.
- Midface contour
- Cheek hollowing
- Long-term facial ageing
- That it is minor because it is quick — it is irreversible facial surgery.
- That everyone with hollow cheeks has had it — leanness, bone structure and age account for most of it.
- That it substitutes for body composition — overall body fat drives far more of midface fullness.
- Reach and hold a healthy, sustainable body composition first and reassess
- Consider that midface fullness often reads as youth, not as a flaw
- If you are still seriously considering it, consult at least two qualified surgeons and ask specifically about ageing
- Wait — this decision does not need to be made quickly
- Sustainable body composition
- Skin and collagen preservation
- Deciding based on filtered photos or a current trend
- Choosing a practitioner on price
- Permanent, difficult to reverse, and can accelerate the appearance of facial ageing. Pursuing hollow cheeks through severe dietary restriction is a serious health risk in its own right — if your relationship with eating is being driven by how your face looks, please speak with a qualified professional.
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Facial Fat Distribution
Where fat sits on the face, influencing both youthfulness and structure.
Midface Length
The vertical distance between the eyes and the upper lip.
Zygomatic Projection
The forward prominence of the cheekbones.
Ogee Curve
The S-shaped contour running from the cheekbone down into the midface, seen in three-quarter view.
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