By Dr. Hudson Frey
If you’ve ever looked in the mirror and felt like your lower cheeks don’t quite match the rest of your facial structure — a little too full or rounded, even if you’re fit and healthy — you’re not alone. For the right patient, buccal fat removal can be a precise and effective way to create a more contoured, sculpted appearance.
As a facial plastic surgeon in Austin, I like this procedure — but only when it’s the right choice. It’s not for everyone, and it shouldn’t be presented as a one-size-fits-all solution. When it’s done thoughtfully, however, buccal fat removal can make a subtle but meaningful difference in facial balance.
What Is Buccal Fat Removal?
Buccal fat is a natural fat pad that sits deep in the lower cheek, below the cheekbone. Some people have more prominent buccal fat than others — often due to genetics — which can create a softer, rounder facial shape. Buccal fat removal is a minor surgical procedure that removes a portion of this fat pad to help define the cheekbones and slim the lower face.
It’s performed through a small incision inside the mouth, leaving no visible scars, and the recovery is relatively easy for most patients.
When It Works — and When It Doesn’t
The key to buccal fat removal is patient selection. This procedure works beautifully in people who have full or rounded cheeks that haven’t responded to weight loss or lifestyle changes — especially when the goal is to create more shape or definition in the mid-to-lower face.
However, in someone with naturally lean features or minimal facial fat to begin with, removing buccal fat can lead to a hollowed or aged look over time. That’s not something I ever want for my patients.
In my practice, I evaluate not just the cheeks, but the entire face — including bone structure, skin quality, and how the face may change with age. The goal isn’t just to make a face slimmer. It’s to create balance, structure, and long-term harmony.
My Philosophy on Facial Contouring
I’m a big believer in subtle refinement over drastic change. Buccal fat removal can enhance your features when done with intention and restraint — but it shouldn’t be done just because it’s popular or “in.”
In some cases, it’s best paired with other procedures — like chin augmentation, neck contouring, or skin tightening — to achieve a more cohesive and natural look. Every face is different, and the right treatment plan should reflect that.
Should You Consider It?
If you’ve always felt like your cheeks don’t quite match the rest of your facial structure — especially if you feel your face looks round or heavy despite being in shape — buccal fat removal may be worth exploring. But the best way to know for sure is through a personalized consultation.
In my Austin practice, I approach every facial contouring case with careful planning, clear communication, and a focus on outcomes that look elevated, never overdone.
Curious about facial contouring or buccal fat removal in Austin? I’d be happy to talk through your goals and whether this is the right path for you. Thoughtful changes — even small ones — can make a powerful difference.
