Is Buccal Fat Removal Worth It?

A Buccal is a round lump of fat in the middle of your cheek. It is located between the facial muscles, in the hollow area under your cheekbones. The size of the buccal pads affects the shape of your face. Sometimes buccal fat removal is necessary for health and sometimes it is one of the components of beauty.

Everyone has buccal fat. However, the size of buccal fat pads can vary greatly.

If you have larger buccal fat pads, you may feel that your face is too round or full. You may also feel like you have a “baby face.”

It is okay to have larger species. However, if you want to make them smaller, a plastic surgeon may recommend buccal liposuction. This surgery is performed to reduce the width of round faces.

If you want buccal fat removal (Buccal Lipoaspiration ), learn more about how it works and possible side effects.


What is buccal fat removal, and how does it work?

Buccal fat removal is a type of plastic surgery. Also known as buccal lipectomy or cheek reduction surgery.

The buccal fat pads in your cheeks are surgically removed during this procedure. This thins the cheeks and defines the angles of the face.

The surgery can be done alone or with another form of plastic surgery, such as:

  • facelift
  • nose plastic surgery
  • Chin implant
  • Lip augmentation
  • botox injection

How do I decide if buccal fat removal is proper for me?

If any of the following are present in your face, you may be a good candidate for buccal fat removal.

  1. You are in good physical health.
  2. You have a good weight.
  3. You have a rounder and fuller face.
  4. You hate how full your cheeks are.
  5. You have realistic expectations from this beauty procedure.
  6. You do not smoke.
  7. Excess fat surrounds your cheekbones and jawline.
  8. You are thin and tend to have a modeling face.


  Removing buccal fat is not suitable for everyone. It may not be recommended in the following scenarios:

  • Your face is narrow. If your face is naturally thin, surgery may cause the cheeks to sink as you age.
  • You have progressive hemifacial atrophy (Pary-Romberg syndrome). This rare disorder causes the skin on one side of the face to shrink. It is known to affect the buccal fat pad.
  • You are old. As you age, you naturally lose facial fat. This procedure may emphasize other signs of facial aging.


A plastic surgeon is the best person to determine if you are an ideal candidate.


What are the risks and complications associated with buccal fat removal? ( Is buccal fat removal safe and effective? )

Buccal fat removal (Buccal lipectomy) is generally considered safe. However, as with all procedures, there is a risk of unwanted side effects.

Possible complications include:

  • Excessive bleeding
  • infection
  • Adverse reaction to anesthesia
  • hematoma
  • seroma (accumulation of fluid)
  • Salivary gland damage
  • Facial nerve damage
  • Deep vein thrombosis
  • Cardiac or pulmonary side effects
  • Remove excess fat
  • Facial asymmetry
  • Poor results

You may need another surgery to correct some of these issues.

See your doctor if you notice any of these unusual symptoms.

  • Shortness of breath
  • Chest pain
  • Abnormal heartbeat
  • Excessive bleeding
  • Severe pain
  • Symptoms of infection


Before the procedure, you will discuss the following with your plastic surgeon:

  • Expectations and goals
  • Medical conditions
  • Current medications, including vitamins and supplements
  • Alcohol, tobacco, and drug use
  • Drug allergies
  • Past surgeries

This information allows your plastic surgeon to determine the best surgical approach and potential risks and prospects for recovery.

You may need to stop certain medications or have blood tests done before the test.

The plastic surgeon will also analyze your face and take pictures to plan the surgery.

Can buccal fat pad removal be done with or without anesthesia?

This procedure may be done in a hospital or doctor’s office. This usually includes:

Local anesthesia is done in the face if you only use buccal fat excision. You will not feel any pain but will be awake during the procedure.

If you have more than one surgery, general anesthesia may be used. In this case, you should go to the surgeon’s office and go from there.

Your surgeon will make an incision on the inside of your cheek. They push the outside of your cheek to expose more of the buccal fat pad.


How long does buccal fat removal take, and what recovery time can I expect?

The buccal fat procedure takes only ten to fifteen minutes or between thirty minutes and one hour, depending on the doctor’s diagnosis.

Before going home, you will be given a special mouthwash to prevent infection. Your doctor will explain how to care for the surgery.

It would be best if you drank fluids for several days. You can then return to soft foods before returning to your regular diet.

After Buccal Liposuction surgery, your face will be swollen, and you may experience bruising. Both should decrease with recovery.

Full recovery usually takes about three weeks.

During recovery, follow your doctor’s self-care and eating instructions. Attend all your follow-up appointments.

Expect to see results within a few months. It takes time for your cheeks to adjust to their new shape.


Post-operative care of buccal fat removal:

The result of the buccal fat removal procedure depends mainly on the care you take afterward, and following this care will help you have a shorter and easier recovery period. Among the necessary care are:

  • In the first week after buccal fat pad contouring, light, watery, and soft foods should be used.
  • After eating every meal or drink, the mouth should be washed with special serums.
  • Until one week after buccal fat removal surgery, antibiotics should be used as prescribed by the doctor.
  • While resting, the head should be kept slightly elevated so as not to put pressure on the surgical area of the face.
  • Avoid smoking until the surgical site is completely healed.
  • The tongue should not touch the wound and stitches.
  • Doing sports that cause trauma to the face should be avoided until the healing of the wounds is complete.
  • After the operation, you can use unique face masks with the doctor’s advice.
Dr. Sanaz is the number one health and beauty magazine chosen by all those who care about magical health and beauty.


Buccal fat removal is a surgical procedure that reduces the size of your cheeks. A surgeon removes the buccal fat pads and creates a slimmer face.


You may be an ideal candidate if you have a round or somewhat fuller face.


In general, this method is considered safe. Recovery takes several weeks.


As with all surgeries, there is a risk of complications. To achieve the best result, consult an experienced plastic surgeon.

Share in :

Explore more

Leave a Reply

Your email address will not be published. Required fields are marked *

Author and specialist

Dr. Majid Zahrabi,


  • Board Certified Neurosurgeon
  • DHA certificate holder
  • Plantation certificate holder, France
  • Certified holder of Discogol, France
  • A pioneer in the non-surgical treatment of disc herniation in the Middle East and CIS countries.
  • Under the training and coaching of Professor Jacques Theron (founder of Discogel Therapy) since 2008
  • More than 400 successful cervical and 1300 lumbar discogel injections
  • Trained and certified several neurosurgeons and spine surgeons in the Middle East and CIS countries for the treatment of Discogel
  • Strong belief in patient-centered care planning and participation
  • Neurosurgeon and spine surgeon at Imam Khomeini and Amir Mazandarani Hospital, Sari, Iran, with more than 430 surgeries annually, 2000-2011
  • Neurosurgeon and spine surgeon at Farmaniyeh, Nikan and Yas Sepid Hospital, Tehran, Iran, with more than 400 surgeries annually, 2011-2012
  • Neurosurgeon at Iranian Hospital, Dubai, 2022-2023
  • Since 2015, he has been working as a reference doctor for the treatment of intervertebral disc herniation with Discogel and has trained many doctors of spine-related specialties in various countries of the Middle East and CIS in person/practically and online.



  • Individual training sessions under the direct supervision of Professor Jacques Theron in Discogel treatment, 2008-2020
  • Training sessions under the supervision of Professor Thierry Boye on spinal implants, 2007
  • Participation and presentation in several national and international medical and neuro-spinal conferences
  • Board certificate by Iran Neurosurgery Board, 2001
  • Neurosurgery assistant training course, Isfahan University of Medical Sciences, Isfahan, Iran, 1996-2001 (In 2001, he graduated from Isfahan University of Medical Sciences with the first rank in the country.
  • His thesis the titled:The Application of human amniotic membrane in repair of dura matter in dogs.” ( It was happening for the first time in the world. )
  • General medical education, Tabriz University of Medical Sciences, Tabriz, Iran, 1984-1993


Published books:

  • CT scan of the brain for doctors
  • Etiology and treatment of painful spine disorders
  • Atlas of diagnosis, prevention, and treatment of spine disorders
  • The most common mistakes in the treatment of spinal disorders
  • Reading brain CT scan in simple language (3rd place in the book of the year)
  • Treatment of head and spine injuries

Publications and articles:

  • Bacteriostatic and bactericidal effects of DISCOGEL® (https://www.researchgate.net/)
  • Muscle recovery, reduction of pain, and improvement of movement strategies in patients with lumbar discopathy after injection of Discogel.
  • The article on the initial results of the treatment of intervertebral disc herniation with discogel injection, which won the second-best poster rank at the Pan Arab International Congress of Interventional Radiology (March 14-16, 2015) and was accepted for presentation at the Chicago Pain Congress.
  • The use of human amniotic membrane in dura mater repair in dogs, a study for the first time in the world.



  • Annual Congress of Physiotherapists of Iran, 2019
  • Chicago International Pain Congress, 2019
  • Iran International Pain Management Congress, 2018
  • Annual Congress of Physiotherapists of Iran, 2018
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Armenia for orthopedic specialists and neurosurgeons, 2017
  • First Live Workshop and Seminar on Minimally Invasive Disc Therapy (DISCON), 2017
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Azerbaijan for orthopedic specialists and neurosurgeons, 2016
  • Seminar of Iranian official managers, 2016
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Tajikistan for orthopedic specialists and neurosurgeons, 2016
  • International Neurological Intervention Congress in Iran, 2014
  • Educational seminar for nurses on treatment approaches for head and spine trauma, 2014
  • Educational seminar for general practitioners on treatment approaches for head and spine trauma, 2014
  • Speech at the Retraining Seminar for General Practitioners and Specialists in Dubai (Discon) in 2017
  • Speech in the internal retraining courses of Irani Hospital, Dubai
  • Holding lecture sessions and practical workshops on the treatment of intervertebral disc herniation with discogel injection in Azerbaijan, Tajikistan, Ukraine, Oman, and Armenia during the years 2015 to 2021.
  • Giving a lecture and holding a practical workshop for neurosurgeons in Vietnam at Ho Chi Minh City University in 2023

Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.