Buccal Fat Removal
Fuller cheeks can be a charming feature in youth, but for some patients they create a rounded facial appearance that persists regardless of weight or fitness level. Buccal fat removal is a minimally invasive procedure that slims and sculpts the mid-face, bringing greater definition to the cheeks and a more angular, refined appearance to the overall face.
What is Buccal Fat Removal?
Buccal fat removal is a surgical procedure that reduces the size of the buccal fat pads — naturally occurring deposits of deep facial fat located in the hollow area beneath the cheekbones. By partially removing these pads, the procedure creates a slimmer mid-face, more visible cheekbone definition, and a subtly sculpted appearance that many patients associate with a more mature, angular facial aesthetic. The surgery is performed entirely inside the mouth, leaving no external scarring whatsoever.
Is Buccal Fat Removal
RIGHT FOR YOU?
Buccal fat removal is a procedure that requires careful consideration of both current facial anatomy and how the face is likely to change with age. The following will help you determine whether it is the right choice for your goals.
Good candidates are adults — typically in their mid-20s or older, once facial fat distribution has fully stabilised — who have naturally full or rounded cheeks that they feel are disproportionate to the rest of their features. Candidates should be at or near their stable, healthy weight, as significant weight fluctuation after surgery can affect the result. Those with a naturally slim or gaunt facial structure are generally not suitable candidates, as removal of buccal fat in these patients can accelerate a hollowed appearance as they age.
Patients seek buccal fat removal when they feel that the fullness of their cheeks prevents their face from achieving the definition and angularity they desire — a concern that diet and exercise cannot address, as buccal fat pads are structural rather than weight-dependent. The procedure is particularly popular among patients who feel their face appears rounder or younger than they would like, and who are seeking a more sculpted, defined facial silhouette.
How it Works
Buccal fat removal is performed under local anaesthesia with sedation and is typically completed in under one hour. It is a relatively straightforward procedure with minimal downtime, though the results — and their long-term implications — require careful planning. Here is what the process looks like:
- Consultation and planning — Dr. Dyrmishi assesses your facial structure, fat distribution, and long-term ageing trajectory to determine whether buccal fat removal will enhance your features appropriately now and in the years ahead.
- The surgery — Small incisions are made inside the mouth, on the inner surface of each cheek, through which the buccal fat pad is carefully accessed, partially removed, and the incision closed with dissolvable sutures.
- Immediate recovery — Swelling inside the mouth and mild discomfort are expected in the first week; a soft diet is recommended during this period, and most patients return to normal daily activity within five to seven days.
- Long-term results — The full sculpting effect becomes visible at around two to three months as post-operative swelling fully resolves, revealing a slimmer, more defined mid-face that is permanent.
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I visited Dr. Ervin Dyrmishi for ongoing nasal blockage and breathing difficulty. He explained everything clearly, performed a detailed examination, and helped me understand the right treatment options. I felt listened to and confident throughout the process.
My consultation was very professional from start to finish. Dr. Dyrmishi took the time to understand both my medical concerns and aesthetic goals. His approach felt careful, honest, and very personalized.
I came in for sinus problems that had been affecting me for a long time. Dr. Dyrmishi was thorough, calm, and very clear in explaining the diagnosis and next steps. The whole experience made me feel much more comfortable.
I was nervous before my facial procedure, but Dr. Dyrmishi explained the treatment plan in detail and answered all my questions. I appreciated his focus on natural results and making sure everything suited my face.
We brought our child for recurring ear and throat problems, and the consultation was excellent. Dr. Dyrmishi was patient, gentle, and explained everything in a way we could understand. We felt reassured and well guided.
Dr. Dyrmishi combines professionalism with a very human approach. He carefully reviewed my symptoms, explained the examination findings, and gave me a clear plan for treatment. I would highly recommend him.
Why Choose Dr. Ervin Dyrmishi?
Dr. Ervin Dyrmishi brings together a strong medical background, advanced ENT and head and neck surgery training, and a refined understanding of facial anatomy and aesthetics. He graduated magna cum laude with a joint medical degree from the University “Our Lady of Good Counsel” in Tirana and the University of Rome “Tor Vergata,” and has continued his professional development through international courses in aesthetic and functional septorhinoplasty, rhinology, otology, temporal bone surgery, and head and neck surgery.
His clinical experience includes ENT emergency care, microsurgery, surgical patient management, head and neck procedures, and daily diagnostic evaluation, giving patients a careful, structured, and well-rounded approach to both medical and aesthetic care.
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Faqs
Frequently Asked Questions
This is one of the most important considerations with this procedure. As the face naturally loses volume with age, patients who have had buccal fat removed may experience a more hollowed appearance in the cheeks over time. This is why Dr. Dyrmishi takes a conservative approach — carefully assessing each patient’s facial structure, current fat volume, and likely ageing pattern before recommending the procedure. Patients with naturally slim faces or those in their late 30s and beyond are counselled particularly carefully on this point.
Buccal fat removal targets a specific, deep anatomical fat pad that sits beneath the cheekbones and cannot be addressed by liposuction. Facial liposuction, by contrast, addresses more superficial fat in areas such as the jowls or beneath the chin. The two procedures target different structures and different areas of the face, and in some cases may be used together as part of a comprehensive facial contouring plan.
No. Buccal fat removal is performed entirely through incisions made inside the mouth, on the inner surface of the cheeks. There are no external incisions and therefore no visible scarring of any kind. The internal incisions are closed with dissolvable sutures that do not require removal.
No. Once the buccal fat pad is removed, it does not regenerate. The result is permanent. This is precisely why the decision to proceed should be made thoughtfully and in consultation with an experienced surgeon who can assess whether the degree of reduction planned is appropriate for your facial anatomy both now and in the future.
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