Buccal Fat Removal

Buccal fat removal - the concept of modifying the deep fat of the face from inside the mouth, is a gentle, precise and tissue-sparing procedure for facial contouring and rejuvenation. The surgery is effective for improving facial proportions, soft-tissue asymmetries and age-related lower facial heaviness.


Facial fat is composed of multiple fat compartments, arranged in deep and superficial layers. They are separated by connective tissue, forming well-defined anatomical units - known as ‘fat pads’. Their function is to provide insulation and structural support throughout the facial soft-tissues.


The adipose compartments change throughout life, some are prone to deflation (fat atrophy), whilst others may gain in volume (fat hypertrophy). These volumetric changes are reflected in the contours of the face and will determine how individual regions develop with ageing.


The buccal fat pad is a deep fat compartment that extends from the upper mid-face to the lower face (next to the mouth). Due to the elongated shape, it is prone to a downward volume-shift within the compartment and can in some instances form a small hernia. This may result in fat accumulation and potentially a bulge in the lower cheek, next to the mouth.

Slimming and contouring the face

A reduction of the buccal fat pad will result in slimmer contours of the front part of the lower face. The treatment highlights the natural definition of the underlying craniofacial architecture, providing a more defined jawline and cheekbones.

●  Facial rejuvenation

Buccal fat removal may be indicated as an ancillary procedure to a SMAS facelift - reducing age-related lower facial heaviness.


●  Facial proportions

Modification of the buccal fat pad can be performed as a stand-alone treatment to remove excess fat from the lower cheeks. The procedure is also used for balancing congenital or acquired soft-tissue asymmetries (for example the hemifacial changes associated with facial palsy).

The procedure provides a moderate fat reduction and Dr Sorensen will advise what result can be achieved according to individual anatomy. By gently sucking in the cheeks, patients can estimate the outcome of the procedure. The surgical reduction is performed using an intra-oral approach, with no visible scarring of the skin.

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