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Buccal Fat Removal

Buccal fat removal is a surgical procedure designed to reduce the fullness of the cheeks by removing a portion of the buccal fat pad located in the very lower half of the cheeks.

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Treatment Time 60 mins

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Duration of Results Permanent

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Results 1 treatment recommended

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Downtime 2-4 weeks


Benefits of Buccal Fat RemovalThe Buccal Fat Removal ProcessConsiderations and Aftercare:Image GalleryFAQ

What is Buccal Fat Removal?

Buccal Fat Removal is a surgical procedure aimed at enhancing facial contours by removing the buccal fat pad from the lower cheeks. This treatment is ideal for individuals seeking a more defined facial structure, particularly those with a naturally round or fuller face. The procedure involves small incisions inside the mouth, ensuring no visible scarring on the face. It’s a permanent solution to reduce cheek fullness and achieve a slimmer, more chiselled facial appearance.

Why Choose Derma Revive for Buccal Fat Removal?

Derma Revive stands out for its expertise in Buccal Fat Removal, offering a blend of top-tier care, safety, and optimal outcomes. Our clinic is led by Dr. Deniz Kanliada, an award-winning surgeon with over 14 years of experience in aesthetics and plastic surgery in London and worldwide. Known for his meticulous approach and consistent results, Dr. Deniz ensures each procedure is tailored to the individual’s facial anatomy, aiming for balanced and natural-looking results. Choosing Derma Revive means entrusting your facial contouring to a renowned expert in a clinic committed to excellence and patient satisfaction.

Surgical cheek contouring treatment

Buccal fat pad removal is one of those medical procedures that, confusingly, has many other names. It is also known as ‘cheek fat removal’, ‘cheek reduction surgery’, surgical cheek contouring, and the medical term ‘buccal lipectomy’ and a ‘bichectomy’.

It is a straightforward procedure with the sole purpose of removing excess cheek fat. Buccal fat surgery will have related consequences, such as more greatly defined cheekbones and jawline, as well as a more contoured, thinner face.

Your facial appearance is influenced by the size of your buccal fat pads. Some patients may feel like their face is overly broad or round, especially in the lower cheek region, if they have larger buccal fat pads. Patients who desire to change their appearance in this regard often complain of ’rounded cheeks, ‘ ‘hamster cheeks’, or ‘chubby cheeks’.

The buccal fat pad has a fairly constant volume and, in the main, will not change much over time. This holds true throughout a person’s life for both sexes, regardless of weight swings or body mass index variations. In reality, despite weight fluctuations, excess fat loss, and subcutaneous fat loss, the deeply positioned buccal fat pad may not change much at all.

That being said, the above is not ubiquitous, as indeed, the buccal fat pad volume may change throughout a person’s life. Everyone is different, and genetics, ethnicity, and diet may play a part, as well as various facial ageing processes.

Benefits of Buccal Fat Removal

Facial Contouring

Buccal fat removal can provide more defined facial contours by reducing the fullness in the lower cheeks. It may help create a slimmer, more chiselled appearance, particularly in individuals with naturally round or ‘baby face’ features who wish to have more prominent cheekbones.

Balanced Facial Proportions

By removing excess buccal fat, the procedure aims to create better harmony and balance between the different facial features, both the cheekbones and jawline, and also the chin. This can lead to a more aesthetically pleasing facial structure and defined appearance.

Permanent Results

Buccal fat removal offers long-term results because the fat cells are physically excised from the cheeks. Unlike non-surgical treatments that may require ongoing maintenance sessions, the effects of buccal fat removal are typically permanent.

Minimally Invasive

The procedure is often performed as an outpatient procedure and is generally considered minimally invasive. It involves making small incisions inside the mouth, which means there are no visible scars on the face.

Quick Recovery

Compared to more extensive facial surgeries, buccal fat removal typically has a shorter recovery period. Most patients can return to their regular activities within 1-2 weeks after the procedure, although the exact recovery time can vary.

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The Buccal Fat Removal Process


The process begins with an initial consultation with plastic surgeon Dr Deniz. During this consultation, you can discuss your goals, expectations, and any concerns you may have. The surgeon will evaluate your facial anatomy and determine if you are a suitable candidate for buccal fat removal. A treatment plan is then drawn up, and the surgeon will discuss realistic expectations and the several benefits surrounding the procedure.


On the day of the procedure, a local anaesthetic will be administered to ensure you are comfortable and pain-free during the surgery. The choice of local anaesthesia will depend on factors such as the surgeon’s preference and the extent of the facial fat removal required.

Cheek reduction incisions

Once you are properly anaesthetised, the surgeon makes small incisions on the inside of your mouth, typically in the upper portion of your cheeks, near the back molars. This placement ensures that there are no visible scars on the outer surface of the face.

Buccal fat extraction

The surgeon will locate the buccal fat pads through the incision site. Using precise techniques to achieve the same results on either side, they will carefully remove an appropriate amount of fat to achieve the desired aesthetic outcome. The amount of fat removed will depend on your facial structure and desired results.

Wound closure

After the necessary amount of fat has been removed, the incisions are closed with dissolvable sutures or stitches that will be removed during a follow-up appointment. The surgeon may use absorbable packing or dressings to protect the incision sites.


Following the procedure, you will be monitored in a recovery area until the effects of anaesthesia wear off. You may experience some swelling, bruising, and discomfort in the first few days. Your surgeon will provide you with specific post-operative instructions, including how to care for the incision sites, manage pain, and gradually resume normal activities. Experienced surgeons will know the instructions’ importance and provide comprehensive information for you to take home.

Cost of Buccal Fat Removal

Buccal Fat Removal at our clinic starts from £4000. The final cost varies based on the method used, individual needs, and additional treatments or consultations. A detailed cost breakdown is provided during the consultation. Our clinic ensures top-tier care, focusing on safety and optimal outcomes.

About our Doctor

Award-winning ENT & Facial Plastic and Cosmetic Surgeon based in various locations such as Harley Street, London and Liverpool Street, London, at at Premier Laser & Skin.

Dr Deniz Kanliada has over 14 years of experience in the aesthetics and plastic surgery field and has operated more than 2000 surgeries in Istanbul, UK and Cyprus.

Known as the “Nose King” by his clients & the media, he values consistent and excellent results. Dr Deniz has been featured in press and TV, such as Channel 4 and Channel 5.

Cosmetic/Plastic Surgeon of the Year 2019 Highly Commended Surgeon Award Winner! (Safety in Beauty Diamond Awards)

Considerations and Aftercare Following the Buccal Fat Removal Surgery

It’s important to note that buccal fat removal is a surgical procedure, and the exact technique may vary depending on the individual case and the surgeon’s approach.

It is essential to consult with a skilled and experienced plastic surgeon who can tailor the procedure to your specific needs and ensure optimal results while minimising any potential risks or complications.

Pay extra attention to the aftercare advice given to you. A soft diet may be advised for a short period of time following the procedure, along with other tips given to you in order for you to get the most benefit.

Who is a good candidate for buccal fat removal?

Ideal candidates for buccal fat removal are those with rounder cheeks and a fuller face desiring a slimmer appearance.

Who is not a good candidate for the buccal fat removal surgery procedure?

Buccal fat removal is not suitable for individuals with narrow, slim faces lacking cheek fullness, and older patients with little mid-face volume, as it may lead to sunken cheeks.

Will there be any bandages on my face after the buccal fat removal surgery?

No bandages are required post-surgery, as buccal fat removal is performed intramurally, with all procedures done inside the mouth.

Will I be able to eat and drink normally after a buccal fat removal procedure?

Post-surgery, normal eating and drinking are possible, but very hot foods and drinks should be avoided for the first 3 days. Soft foods may be recommended initially, and a healthy diet is advised for optimal healing.

Is there a chance of asymmetrical results with buccal fat removal?

There’s a slight risk of asymmetrical results, despite symmetrical removal. Healing differences due to muscle use can cause minor asymmetries.

What are the potential complications of a buccal fat removal procedure?

Potential complications include infection, excessive bleeding, haematoma, and nerve damage. Although generally safe, all surgical procedures carry some risks. Surgeons prioritise minimising these risks. Complications may necessitate additional treatments such as antibiotics or steroids, and potentially reopening the wound.

Can buccal fat reduction treatments be combined with other treatments?

Buccal fat reduction can be combined with other procedures, such as masseter Botox and lifting-type treatments. Patients often consider additional plastic surgery options during consultation.

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