Livingston (Main):(973) 486-4862
New York City:(212) 203-7745

Buccal Fat Pad Removal New York City and New Jersey

and achieve a chiseled face?

Buccal Fat Removal  helps you to achieve a sculpted , thinner less chubby face!

Chubby lower cheeks, commonly known as “chipmunk cheeks”, very often contribute to overly rounded cheeks, thus masking the contours of a beautiful upper cheekbone and lower jawbone. Chubby lower cheeks can make a person look chubby even though they may have a thin body

Very often, chubby lower cheeks cannot not be reduced in the size of their by simply losing weight with diet and or exercise.

Buccal Fat Removal is a minimal invasive plastic surgery procedure  that removes the fullness of the chubby cheeks, and therefore is ideal for people with round cheeks who wish to have a slightly more chiseled expression (thinner of V shape face)

Dr. John Mesa offers buccal fat removal under local anesthesia without sedation (in patient candidates) or also under general anesthesia to excise the buccal fat from the cheek and achieve a slimmer facial appearance.


Common reasons for wanting Buccal Fat Removal surgery include:

  • Puffy or distended cheeks
  • “Moon” face lacking facial contour
  • Genetics (e.g asian patients)
  • Hanging or drooping skin in the cheeks or neck
  • To achieve a a tapered cheek
  • To reduce the fullness in the lower cheek
  • To obtain a chiseled look, with distinct cheekbones,
  • To make the bottom third of the face more slender.


Benefits of Buccal Fat Removal ?

  • Corrects the chubby cheeks (chipmunk cheeks) or baby face chubby” look
  • Allows to achieve an sculpted, athletic appearance with a more distinct facial shape
  • Improves self confidence and self esteem
  • It gives a slimmer facial appearance
  • Gives a subtle thinning of the cheeks with a natural look
  • Enhances the contour of the upper cheekbone
  • It makes the cheekbones may appear higher and with more definition
  • Sculpts a poorly defined face with roundness or plumpness in the cheek area
  • Enhances the contour of the lower jawbone.
  • It gives appearance of losing weight
  • Increasing self-esteem


Features of Buccal Fat Removal ?

  • It is a quick, effective and safe.
  • It is usually performed under local anesthesia
  • Recovery time is minimal
  • Patients go back to work or school next day
  • Id doesn’t leave any external visible scars.
  • It is performed as an outpatient


How is  the Buccal Fat Removal procedure performed?

Dr. Mesa usually performs the buccal fat removal under local anesthesia without sedation or general anesthesia in the office setting as an outpatient. The procedure usually take few minutes. Dr. Mesa could also perform the procedure under general anesthesia upon request. This YouTube video explains how the Buccal Fat Removal is performed by Dr. Mesa:


Buccal Fat Removal Before and Afters:

Examples of buccal fat removal before and afters could be observed in the Photo Gallery Section.


Reviews about Buccal Fat Removal by Dr. Mesa 




Call Us to make an appointment:
New York City: (212) (212) 203-7748 – New Jersey: (973) 486-4862



Frequent Asked Questions about Buccal Fat Removal
in New York City and New Jersey


What’s the cause of big cheeks, “chipmunk cheeks” or full round face?

Chubby cheeks, Chipmunk cheeks or ‘baby face’ is a facial appearance secondary to enlarged buccal fat. Very common, chubby cheeks, chipmunk cheeks or ‘baby face’ is an the hereditary condition cannot be remedied through diet or exercise.


What is the buccal fat?

The buccal fat, or Bichat’s fat pad, is a pocket on fat located in the lower face that contributes to the facial definition. The size of the buccal fat defines the fullness of the anterior lower cheeks. In many patients the buccal fat causes the cheek to look full and the face look round (“chipmunk cheeks), thus taking away the aesthetically pleasing silhouette of the face.



What is buccal fat removal surgery?


Buccal fat removal is one of Dr. Mesa’s favorite operations.

Buccal fat removal (bichectomy, buccal lipectomy or buccal fat pad excision) is a minimally invasive cosmetic plastic surgery performed to reduce the fullness of the lower cheek or “chipmunk cheeks.” A Buccal fat removal can give you a beautiful, contoured chiseled look.


Am I a candidate for Buccal fat excision surgery?

An ideal candidate for buccal fat excision surgery are both men and women with excessive fullness in the lower cheek area, round face, chubby cheeks or chipmunk cheeks who would like to have an sculpted / chiseled face.


Am I a Candidate for Buccal Fat Removal?

Buccal fat removal is ideal for patients who are dissatisfied by the stubborn appearance of “chubby” cheeks (excessive fullness in the lower cheek area) and would like to achieve a slimmer chiseled face.


Dr. John Mesa can help you decide if buccal fat pad excision is right for you during your initial consultation.


Can I improve my “chipmunk cheeks” (chubby cheeks) with other procedures rather than buccal fat excision (e.g. Liposuction of the cheeks).


The buccal fat (Bichat’s fat) is a distinct encased fat pad within each the cheeks, located underneath the deep tissues that can’t be access easily with a liposuction cannula. Liposuction and skin tightening techniques don’t work as they with the fat of other parts of the body.


At what age can a buccal fat excision be performed?

Buccal fat removal is ideal for patients who are in their late teens through 60’s.

Candidates for buccal fat removal are patients of all ages. Patients form their 20’s to their 60’s can benefit from buccal fat excision


Does the buccal fat removal procedure hurt?

This procedure does not hurt. When performed by Dr. Mesa under local anesthesia you will fill some pulling sensation inside your mouth but not pain.


How is the buccal fat excision surgery performed?

Dr. Mesa performs his Buccal Fat excision procedure at his office-based operating room. Dr. Mesa commonly performs the procedure under pure local anesthesia without any type of sedation (neither oral nor IV sedation). Therefore the procedure is outpatient. Per patient request Dr. Mesa can perform the procedure under general anesthesia or IV sedation. The procedure takes approximately less than one hour from start to finish.

Dr. Mesa will place a mouth retractor similar to the one used at the dentist. Then he will make a small incision between inside the mouth near the second molar tooth. Then the incision is gently opened using a surgical scissor. This allows the buccal fat to presents itself between the masticatory muscle called Masseter and the soft tissue of the cheek. Through this incision, Dr. Mesa will gently teased the buccal fat pad out, as it flows freely out of the incision as yolk from an egg. Then Dr. Mesa will meticulously excise an adequate amount of buccal fat, sculpting the cheek to a slender, pleasing contour.

Once the Buccal Fat has been excised, the small incision is closed dissolvable sutures. These absorbable sutures allow for proper healing of the incision. The oral incisions heal quickly. Any resulting scars are hidden on the inside of the mouth, completely hidden from view.


This is a pictorial explanation of the buccal fat removal procedure performed by Dr. Mesa under local anesthesia.


An incision inside the mouth (oral mucosa) next to the top second molar tooth is performed


The buccal fat gently teased out through the incision and then excised.



The small incision is closed with dissolvable stitches


How is the recovery after Buccal Fat Removal surgery?

There is minimal downtime after a buccal fat excision surgery. It’s normal to experience some minimal swelling for few days. The cheeks could appear fuller than before, but this subsides as the swelling goes away, Bruising may occur but is extremely rare. The recovery is also virtually pain free. Most patients are able to return to work or school the next day. You should begin to see thinning in your cheeks within for weeks after your buccal fat removal surgery.

Dr. Mesa will request that you avoid vigorous exercise or activities for one to two weeks after the procedure.



When can I return to work or school after a Buccal Fat Excision surgery?

How soon can I go back to work or school after Buccal Fat excision surgery?

Most of the patients undergoing buccal fat removal surgery with Dr. Mesa normally feel good after the procedure and return to work or school as quickly as the next day.


Do I need to stay in the hospital for buccal fat removal surgery?

No, you don’t. Buccal fat removal surgery with Dr. Mesa is an outpatient procedure. Therefore you will be able to go home the same day, just right after the operation.


Dr. Mesa performs the procedure with pure local anesthesia without any light sedation or oral sedation. Therefore patients can commute themselves safely back and forward to operating without companion, thus keeping the procedure confidential (like when you go to the dentist)


How do I prepare for a Buccal Fat excision surgery?

Once the buccal fat removal surgery has been scheduled, Dr. Mesa’s staff will give you complete set of written post-op instructions; these are imperative for proper healing.


In general, these are the main points a patient should remember to ensure an smooth procedure and recovery process:


  • Avoid any medications and oral supplements that make the blood thin and therefore increase the risk of bruising (e.g. aspirin, ibuprofen, Motrin, Advil, fish oil, Omega, Multivitamins, etc.)
  • Fill prescriptions for antibiotics before the day of your surgery.
  • Fill out your medical grade oral mouth wash and use it after every meal for one week to avoid food to be trapped close to the incision and decrease the risk of infection.
  • Avoid eating any hard food like chips, Doritos, crackers, etc., since they could pull the dissolvable stitches inside the mouth.
  • Schedule your two follow-up appointments with Mesa and add these on your calendar so you don’t miss your visits.


What are the potential risks from a Buccal Fat Excision surgery?

Buccal Fat Excision (cheek reduction surgery) is extremely safe. Dr. Mesa, a Harvard trained triple fellowship trained and Board Certified Plastic Surgeon performs hundreds of these procedures a year, so he is very skilled to further decrease the risks of any complications. Some of the commonly risks of the procedure are swelling of the cheeks from one few days to a week. Bruising also may occur, especially if patients taking medications or oral supplements that make the blood thin. Some of the rare complications include: bleeding, poor healing, scarring, prolonged swelling and asymmetry.



How much does Buccal Fat Removal surgery cost?

Depending on the extent of correction and the location where you would like the procedure to be performed (New York City vs. New Jersey), the exact cost will be decided during your initial consultation appointment.


How long the results of Buccal Fat Removal Surgery last?

Buccal Fat Removal Surgery results are permanent.

When will I see the results of Buccal Fat Excision Surgery?

Results start to show up as soon as the third week after the procedure. Final results will become be noticeable generally after six (6) weeks once most of the swelling disappears. Your full results could take up to three or more months to fully settle in.

How soon can I schedule my Buccal Fat Removal surgery?

To schedule your procedure you need an initial consultation with Dr. Mesa to determine if you are a candidate for the Buccal Fat Removal surgery. If Dr. Mesa considers you are candidate, your procedure will be scheduled next day. Since the procedure is quite short (under an hour), Dr. Mesa may be able to perform to perform your procedure as soon as next if his schedule allows it.


Will Buccal Fat Excision Surgery affect the parotid gland salivary tube or muscles inside the cheeks like the masseter muscle or pterygoid muscles or?


Dr. Mesa is a very skilled Board Certified plastic surgeon that performs hundreds of Buccal fat removal surgeries. During the procedure Dr. Mesa avoids damage to the parotid gland salivary tube or those muscles.


How large is the buccal fat pad?

The size of the buccal fat pad varies from patient to patient. Buccal Fat Pads are typically half the size of a Ping-Pong ball or the size of a teaspoon. This amount of fat pad may not seem like much excess, but in the face it is sufficient enough to remove the fullness of the lower cheeks and contour the overall face.


Can anything be done to help prevent or decrease the swelling after buccal fat removal surgery?

Swelling after buccal fat removal surgery will occur regardless any measurement taken, but it is minimal. Following Dr. Mesa’s post-procedure instructions will further allow decreasing the swelling. Sleeping with the head of bed elevated and wearing the compression bandage around the cheeks until the next day are the most important measures to decrease the swelling.


How long does the buccal fat excision takes?

Buccal fat removal is a relatively short procedure and performed in-office

The entire procedure can take as little as 30 minutes to complete, and recovery time is minimal.

Different to other surgeons, Dr. Mesa performs the procedure under pure local anesthetic without sedation to ensure patients could commute back and forward to the office driving themselves or using public transportation without the need of a companion to maintain the privacy of the procedure.


Can Buccal Fat Removal Surgery be performed at the same time of other cosmetic procedures?

Buccal fat pad removal can be combined with other cosmetic procedures. Dr. Mesa usually performs cheek augmentation with Voluma soft tissue filler to enhance the results of the buccal fat remova, surgery. Other cosmetic plastic surgery procedures such as neck liposuction, eyelid lift (blepharoplasty), Fractora facial skin tightening, etc., can be performed at the same time.


What friends and family will noticed after I get buccal fat removal surgery?

People would likely notice that your face looks noticeably thinner and more chiseled. They may wonder if you’ve lost weight recently due to diet and/or excercise.


Do you offer financing for Buccal Fat Removal Surgery?

Yes, Dr. Mesa offers financing.

Buccal Far Removal surgery can be paid with cash, all credit cards and cashier cheeks.

Dr. Mesa offers medical financing for Buccal Far Removal surgery through two companies: Care Credit and Alpheon Credit.


If you’re tired of your chubby cheeks and want to achieve a slimmer face, please call Dr. John Mesa’s office today to schedule your consultation.

NYC: (212) (212) 203-7745, – NJ (973) 486-4862


Summary of the buccal fat Removal surgery main points


Buccal Fat Removal Surgery
Ideal Candidates -Men and women unhappy with excessive fullness in the lower cheek area, chubby cheeks and/or round face.-People that want to achieve a chiseled face-Almost anybody with ages from the 20’s to the 60’s
What’s the Surgery? Surgery that removes the fat inside the lower anterior chubby cheeks (buccal fat pads,) that usually doesn’t decrease in size with neither diet nor exercise.
Benefits of the Surgery Corrects chubby cheeksAllows achieving a sculpted. athletic, chiseled face (V shaped face)Improves self confidence and self esteem
Features of the Surgery Outpatient (same day surgery)Local anesthesia (no need to go to sleep or be sedated)Incisions are inside the mouth, so scars are not visible
Recovery Minimal, usually just minor swellingPatients can go back to work or school next day
Results Chubby cheeks will be gone (no more chipmunk cheeks)Slimmer, V shaped face (no more round face)Chiseled face (like the models)


Chubby cheeks work for some people, but for many others this is bothersome. Many of these people are getting their faces sculpted by having a cheek reduction, also called buccal fat removal. This is a surgical procedure that involves removing the excess buccal fat located in a specific cheek area. Slimmer cheeks, a more contoured face and a sculpted look that reveals the natural cheekbones are the results! Buccal fat pad removal aims to remove excess fat from the cheeks in patients with round, chubby cheeks, or those simply seeking a more defined appearance. The buccal pads are areas of fat in the lower cheeks that may appear because of a genetic disposition or simply from being overweight, and can cause unwanted “chipmunk cheeks” in certain patients.


Benefits of Buccal Fat Removal

Some of the benefits of Buccal Fat removal are:

Buccal fat removal removes excess, chubby cheek fat?

Results in thinner, more defined cheeks (an enhanced appearance)?

Typically improves self confidence and self esteem?

Involves short surgery, little bruising and brief downtime

No facial scarring or external incisions on the face?

Achieves a more sculpted, balanced facial appearance


Frequent Asked Questions about Buccal Fat Pad Removal:


Is Buccal Fat Pad Removal right for you?

If you are unhappy with excessively full cheeks, and you have a strong desire to reshape, sculpt and slim down your face, cheek reduction surgery may be right for you. Dr. John Mesa, A Board Certified Cosmetic Plastic Surgeon in New Jersey and New York City will determine this during your personal consultation when he will review your options with you, and design your individualized treatment plan. You should be in good health, over the age of 18 (to assure facial development is complete), and have realistic expectations.


How is Buccal Fat Removal Surgery Plastic Surgery done? After you are anesthetized and comfortable, Dr. John Mesa, MD makes an incision inside the mouth, between the cheek and gums, and works through this opening to remove the unwanted fat and to sculpt the cheek area. Dissolvable sutures close the incisions.


What is to expect after Buccal Fat Pad Removal Plastic Surgery? You can expect the following when you wake up and you should follow the instructions given when you return home:

Some swelling, bruising, numbness and discomfort is normal and to be expected.

Cool compresses and oral pain medication will easily manage your discomfort.

All swelling resolves on its own in a few weeks as healing progresses.

You will need to rest at night with your head elevated for a few weeks.

Plan on a restricted diet as follows: Avoid all uncooked foods (risk of bacteria) and be sure to thoroughly wash all raw fruits and vegetables. You will want liquid to soft foods for a few days.

You will be given a special anti-bacterial mouthwash to be used throughout the day for several days.

Keep your tongue away from the incision sites inside your mouth.

Avoid all strenuous activity until healing is complete.

Sutures usually dissolve on their own within 7 to 10 days.

All healing takes time and cannot be rushed. It may be several weeks before all swelling is gone and you see the final results.


Can Men and Women of All Ages Have Buccal Fat Pad Removal Surgery? Men and women and young people of various ages and stages come to Dr. John Mesa, MD for his cheek reduction (buccal fat removal) surgery. There are many options today and Dr. John Mesa, MD can discuss them with you to assure you make the right decision.


How Painful is Buccal Fat Pad Removal? Most patients complain of discomfort rather than severe pain. Oral medication and cool compresses easily manage this.


How Much Bruising is There After Buccal Fat Pad Removal? Since the incision is inside the mouth, bruising is minimal and non visible. Swelling of the cheeks may take a while to resolve, but patients typically are up and about in a couple of days.


Why is the diet restricted With Buccal Fat Pad Removal? This is the same as “oral surgery” and it is critical to ensure no bacteria from foods get into the mouth and incision sites. Also, mouth soreness will dictate what you feel like eating for a few days.


Will Insurance Pay for Buccal Fat Pad Removal? No. This is a cosmetic procedure and insurance does not cover it. Our office offers financing that does and are happy to provide you with the information in our business office.


I have read/been told that buccal fat removal will make me look older. Is that rights?

Doctors who try to criticize buccal fat reduction typically are not familiar with the procedure or are not trained in how to perform buccal fat removal. They will state that as one ages “you need that fat” because “old people all have sunken faces.

By that logic, we should not be performing liposuction on people’s thighs, as old people all have saggy buttocks. In selected patients, facial fat reduction is one of the best ways to lessen the baby face look that detracts from one’s appearance.


Facts about chubby cheeks:

Typical results following this procedure are subtle. Without the buccal fat pad, your face will have a sharper contour into the lower cheek. “Chubbiness” or “chipmunk cheeks” will be reduced, and instead of a baby-faced appearance, you will have a more defined, mature look

Buccal fat removal slims down the cheeks in the midportion, which can give the entire face a more attractive look. Often by reducing the mid cheek, the cheek bones will appear more prominent, further enhancing a chubby, undefined face

Buccal fat removal is designed to create a more sculpted facial contour or chiseled look for patients in New Jersey.

Excess deposits of fat in the chin, neck, and cheeks can create a false impression of plumpness and being overweight, even for individuals who are otherwise fit and slender everywhere else.


Chubby or “chipmunk” cheeks are often the result of heredity; these disproportionate lumps of fat will not simply go away with diet and exercise. For many, this poses a not only an aesthetic problem, but an emotional one as well. Consequently, they may fund a tremendous benefit in buccal fat removal procedure, also referred to as cheek reduction surgery, to give their faces a sleeker and more defined look.



Is Dr. Mesa trained to perform buccal fat removal?

Dr. Mesa ’s comfort with buccal fat removal stems from the fact that he has both a dental and medical degree. This gives him familiarity with the anatomy of the mouth area like the buccal fat pad that many other doctors lack.


Buccal fat extraction is a fat removal method from chubby cheeks.

I have such fat round cheeks

buccal fat removal surgery experience

The procedure can provide a slimmer, smoother cheek; restoring a youthful appearance.

Buccal lipectomy


A round, full cheek may take away from an aesthetically pleasing facial silhouette. Often referred to as ‘chip monk cheeks’ or a ‘baby face’, the hereditary condition of plump lower cheeks – comprised of excess Buccal Fat – cannot be remedied through diet or exercise. Buccal Fat Removal is a surgical procedure designed to reduce this fullness in the lower cheek by removing the fat pads, themselves. The procedure can provide a slimmer, smoother cheek; restoring a youthful appearance.



A sculpted face with smooth and chiseled contours is sought after not only by models, celebrities and those in the media, but by anyone wanting to attain an aesthetically pleasing face. Puffiness or heaviness in the cheek area can mask the contours of a beautiful upper cheekbone and lower jawbone. This fullness or puffiness can often be contributed to what is called Buccal Fat.



Why not go to a Dentists, Obstetricians, Gynecologists, Internists, Primary Care Physician and “cosmetologists” for Buccal Fat Pad plastic surgery?

Practitioners like dentists and other doctors who are not formally residency-trained and Board Certified to perform Buccal Fat Pad Removal plastic surgery have been found to suffer a much higher rate of complications, as it’s a side interest to them, and not a treatment they’re certified to do all day long. One of the most common complaints is minimal improvement, asymmetries, “operated look”, etc. Only a licensed professional with the knowledge, training and skills required to achieve optimum results should perform Buccal Fat Pad Removal plastic surgery. Look for a plastic surgeon who is Board Certified by the American Board of Plastic Surgery and who has completed his training at some of the top residency and fellowship institutions.

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