Buccal Fat Removal Surgery in Delhi, India

Buccal fat removal, also known as buccal lipectomy, is a minimally invasive cosmetic surgical procedure designed to decrease the volume of the buccal fat pads. These fat pads, situated in the lower portion of the cheeks, contribute to facial roundness and fullness. In some individuals, these pads can be more prominent, leading to a 'baby face' appearance or a lack of definition along the cheekbones and jawline.

The procedure targets the buccal fat pads specifically, removing a portion of the fat to create a more sculpted and contoured facial appearance. This results in a slimmer, more defined mid-face, enhancing the natural angles of the cheekbones and jawline. It's important to note that buccal fat removal is not a weight loss solution. Rather, it is a procedure that refines facial contours by addressing specific areas of fat accumulation.

Buccal fat removal offers several aesthetic and psychological benefits. Some key advantages of the procedure include:

• Enhanced Facial Contouring – By reducing excess cheek fat, the procedure creates a more sculpted and defined look, highlighting the cheekbones and jawline.
• Permanent Results – Unlike weight loss, which may not significantly impact buccal fat, this procedure offers lasting improvements in facial appearance.
• Minimally Invasive – The surgery is performed through small incisions inside the mouth, leaving no visible scars.
• Quick Recovery – Most patients experience minimal downtime, with swelling subsiding within a few weeks.
• Increased Confidence – Achieving a slimmer, more contoured face can enhance self-esteem and overall satisfaction.

Buccal fat removal is for individuals seeking a more contoured and sculpted facial appearance. Suitable candidates typically include:

• Individuals with Full or Rounded Cheeks – Those with naturally prominent cheeks due to excess buccal fat may benefit from a slimmer facial structure.
• Patients in Good Overall Health – The procedure is best suited for individuals without serious medical conditions that could impact healing or recovery.
• Those with a Stable Weight – Buccal fat removal is not a weight-loss solution and is most effective for individuals who maintain a consistent weight.
• Individuals with Realistic Expectations – Understanding the potential outcomes and limitations of the procedure is essential for achieving satisfactory results.
• Patients Who Are Not Prone to Facial Fat Loss with Age – Those with naturally thin faces may not be ideal candidates, as removing buccal fat could lead to a hollow or sunken appearance over time.

At Max Healthcare, specialists conduct thorough evaluations to determine whether buccal fat removal is a suitable option based on an individual’s facial anatomy and medical history.

Proper preparation for buccal fat removal surgery helps minimise risks and ensures a smoother recovery. Here's what patients can expect:

Detailed Pre-Operative Instructions: Patients receive detailed pre-operative instructions outlining the necessary steps to take before the procedure. This includes guidance on medication adjustments, dietary recommendations, and lifestyle modifications.

Medication Adjustments: Patients may need to stop taking certain medications before surgery. A specific list of medications to avoid will be provided.

Lifestyle Modifications: Patients are advised to refrain from smoking and consuming alcohol for a specified period before the procedure. These substances can negatively impact healing and increase the risk of complications.

Oral Hygiene: Patients receive instructions on maintaining good oral hygiene. This includes brushing and rinsing with an antiseptic mouthwash to minimise the risk of infection.

Dietary Guidelines: Specific dietary guidelines may be provided to follow in the days leading up to the surgery. This helps ensure the body is in optimal condition for the procedure.

Post-Operative Support: Patients are encouraged to arrange for transportation and post-operative care.

Mental Preparation: Patients are encouraged to discuss any concerns with the surgical team. This helps alleviate anxiety and ensures a clear understanding of the procedure and recovery process.

By following these pre-operative instructions, patients can contribute to a successful buccal fat removal surgery and a smoother recovery.

The buccal fat removal procedure is performed on an outpatient basis. Here's a general overview of what patients can expect:

Administration of Anaesthesia: The procedure begins with the administration of local anaesthesia, sometimes combined with sedation, to ensure the patient's comfort. In some cases, general anaesthesia may be used, depending on the surgeon's recommendation.

Incision Placement: A small incision is made on the inner side of each cheek, typically near the molars. Since the incisions are inside the mouth, there are no visible scars on the face.

Removal of Buccal Fat Pads: The surgeon gently applies external pressure on the cheek to expose the buccal fat pad. A controlled amount of fat is then carefully removed to achieve the desired contour while maintaining facial harmony.

Closure of Incisions:Once the fat removal is complete, the incisions are closed with dissolvable sutures.

Proper post-operative care is important for ensuring a smooth recovery. Following the surgeon’s guidelines can help minimise discomfort, prevent complications, and enhance healing.

Immediate Post-Surgery Care

Patients may experience swelling and discomfort in the initial days following surgery. Cold compresses can help decrease swelling, and prescribed pain medication can manage any discomfort. Since the incisions are inside the mouth, maintaining proper oral hygiene is essential.

Dietary Restrictions

A soft or liquid diet is recommended for the first few days to avoid irritation to the surgical site. Spicy, acidic, or hard foods should be avoided to promote healing and reduce discomfort.

Maintaining Oral Hygiene

Rinsing the mouth with an antiseptic solution or saline water, as advised by the surgeon, helps keep the surgical site clean. Brushing should be done gently to prevent irritation near the incisions.

Follow-Up Appointments

Regular follow-up visits allow the surgeon to monitor the healing process and address any concerns. Most patients can return to normal activities within a few days.

Long-Term Healing

Swelling gradually subsides over a few weeks, and final results become more apparent within three to six months as the facial contours refine. Proper post-operative care ensures optimal healing and the best aesthetic outcome.

While buccal fat removal is a safe procedure when performed by an experienced surgeon, it carries certain potential complications like any surgical intervention. Understanding these risks helps patients make informed decisions.

Common Side Effects: Mild swelling, bruising, and discomfort are common after the procedure. These symptoms usually subside within a few days and can be managed with prescribed medications and cold compresses.

Risk of Infection: Since the incisions are made inside the mouth, maintaining proper oral hygiene is crucial to prevent infection. Following the surgeon’s recommendations regarding mouth rinsing and dietary restrictions can help minimise this risk.

Nerve or Muscle Damage: In rare cases, temporary numbness or weakness in facial muscles may occur due to the proximity of nerves in the cheek area. This usually resolves as healing progresses.

Asymmetry or Overcorrection: Uneven fat removal can lead to facial asymmetry, while excessive fat removal may cause a hollow or gaunt appearance over time. Choosing a skilled surgeon with expertise in facial aesthetics reduces these risks.

Prolonged Swelling or Healing Issues: While swelling typically subsides within a few weeks, some patients may experience prolonged inflammation or delayed healing. Adhering to post-operative care instructions can help facilitate a smoother recovery.

Understanding these potential risks allows patients to take necessary precautions and choose a qualified surgeon to ensure the best possible outcome.

Is buccal fat removal a permanent procedure?

Yes, the procedure is permanent, as the removed fat does not regenerate. However, significant weight gain can affect facial contours over time.

At what age can someone undergo buccal fat removal?

It is generally recommended for individuals in their mid-20s or older when facial fat distribution has stabilised. Performing it too early may lead to excessive hollowing as ageing progresses.

Will buccal fat removal make my face look too thin?

The procedure is customised to achieve a natural look without excessive hollowness. Over-reduction can be a risk if not done carefully.

How long does it take to see the final results?

Initial results are visible within a few weeks, but it may take up to three to six months for full results as swelling subsides and the facial tissues adjust.

Can buccal fat removal be reversed?

No, once the buccal fat pads are removed, they cannot be restored. Patients should carefully consider the long-term effects before proceeding.

Does buccal fat removal change my smile?

In the initial healing phase, there may be mild stiffness or tightness, but it does not permanently alter one’s ability to smile or express emotions.

How does buccal fat removal compare to fillers or facial contouring treatments?

Unlike fillers or contouring procedures, which are temporary, buccal fat removal is a surgical solution that offers permanent refinement of facial shape.

Will my facial features continue to change as I age after buccal fat removal?

Yes, natural aging processes will still occur, and facial fat loss over time may further enhance the contouring effects of the procedure.

Is buccal fat removal suitable for men?

Yes, men who seek a more chiselled and defined jawline may also benefit from the procedure.

Can weight loss achieve the same results as buccal fat removal?

Not necessarily. Buccal fat pads are genetically determined and may not significantly reduce with general weight loss.

Are there any dietary restrictions after buccal fat removal?

Soft foods are recommended for the first few days, and spicy or acidic foods should be avoided to prevent irritation.

How can I maintain my results after buccal fat removal?

Maintaining a healthy weight and following a healthy lifestyle will help preserve the results over time.

Can buccal fat removal cause sagging skin in the future?

When performed correctly, the procedure does not cause sagging. However, significant weight loss or ageing can naturally lead to skin laxity over time.

Reviewed by Dr. Sunil Choudhary - Principal Director & Chief of Plastic Surgery (Max Institute of Reconstructive, Aesthetic, Cleft & Craniofacial Surgery (Miracles) on 04 March 2025.