Patient Info

Dr. Inessa Fishman


This 29-year-old woman was bothered by excessive fulness at her lower cheeks, and is shown before and 1 day after buccal fat pad reduction and fat grafting to the upper cheeks and cheekbones. While she looks great at this early stage in her recovery, her lower facial contour will continue to improve for the next 4-6 months.

Facial plastic surgeon Dr. Inessa Fishman performed her treatment in the office, with the help of injectable numbing medicine and relaxing laughing gas.

About Buccal Fat Reduction Procedure

While volume is generally a desirable feature of a youthful and beautiful face, excessively full cheeks can be bothersome for some individuals.  Some men and women, no matter their age, are bothered by overly full or “chipmunky” cheeks, or a too-round “baby face.”  Buccal fat reduction, or partial removal of the buccal fat pad (also known as the fat pad of Bichat) is a minor surgical procedure performed to slim the lower face and cheeks, and is one of the most effective tools for facial contouring.  Buccal fat pad reduction or excision—also known as bichectomy surgery—can be an effective way to sculpt overly full cheeks, reduce excess volume in the lower face, and highlight or accentuate the cheekbones.  A relatively short procedure, buccal fat reduction involves surgically trimming a discrete collection of fat located within the cheek, typically through a small incision on the inside of the mouth.  Offering little to no downtime and no visible scars, this procedure offers permanent and natural-appearing results.  Our facial plastic surgeon Dr. Inessa Fishman commonly performs buccal fat reduction as a standalone procedure, or in combination with rhinoplasty or neck lifting surgery.

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