Define and Refine Your Facial Contours

At PSG, we believe that subtle refinements often create the most natural-looking transformations. Buccal fat removal, sometimes called cheek reduction surgery, is a minimally invasive procedure that removes excess fat from the mid-cheek area to create a slimmer, more sculpted facial contour. Whether you have naturally full cheeks or want to enhance the definition of your cheekbones and jawline, buccal fat removal can provide lasting improvement while maintaining harmony with your overall facial structure.

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Benefits of Buccal Fat Removal

Buccal fat removal can produce noticeable yet natural improvements in facial contour with minimal downtime. Depending on your facial anatomy and goals, the procedure may provide:

  • Sharper facial definition: Reduces fullness in the lower cheeks to create a more sculpted and mature appearance
  • Improved facial balance: Enhances the visibility of cheekbones and jawline for better overall facial proportion
  • No visible scarring: Incisions are placed inside the mouth, leaving no external scars
  • Quick recovery: Most patients return to normal daily activities within a few days
  • Long-lasting results: Once removed, buccal fat pads do not regenerate, making the results permanent

This procedure is ideal for patients who want to enhance natural bone structure while preserving a balanced and harmonious appearance.

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Testimonials Words From Our Patients

N.G.

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am ...

Had a breast reduction done by Dr Adrian Lee. Amazing surgeon - very kind, explains things well and paid close attention to detail. The staff in the office are very kind too. I am very impressed with how the healing has gone - back pain disappeared and with how thorough he is as a surgeon I believe that’s what helped the recovery process. Would recommend him and the office to anyone. :)

R.M.

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes t...

I have had two surgeries at the Plastic Surgery Group at City Centre. I have only had interaction with Laurie in reception and Dr. Prince. Dr. Prince is second to none. She takes the time to explain everything in detail and answer any and all questions. Her expertise and her skills are truly exceptional. She is very easy to talk to and truly a master of her profession. I would not hesitate to recommend her services to anyone who wants the best. Laurie was also amazing. She is very friendly, knowledgeable and helpful. Dr. Prince and Laurie are both a real credit to the Plastic Surgery Group at City Centre.

S.W.

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of hu...

Dr. Oxley has done two procedures removing cancer for me. The first visit I had with him was in the surgery suite. He was professional, punctual and had just the right amount of humour for what was a stressful time for me. The follow up visit was on time and I was booked for a second surgery. The second surgery was again, punctual and professional with a touch of humour. I am in the process of booking a follow up to my latest surgery now. I would not hesitate to use Dr. Oxley again.

K.G.

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make s...

Dr. Imran Ratanshi performed my breast reduction surgery a month ago and I feel amazing. The recovery time was unbelievable and his staff has continually checked up on me to make sure I am still doing well. I would recommend him to anyone who is considering this surgery. He is honest and very helpful, provided all of the information I needed to make decision regarding my surgery. I feel like it's one of the best decisions I have ever made for my confidence. He did an incredible job, I trust him 100% and would not hesitate to put myself into his care again. Highly, highly recommend Dr. Ratanshi and his team!

R.M.

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-c...

My highest recommendation for an outstanding doctor and person: Dr. Rizwan Mian. Dr. Mian has surgically removed cancer from my skin a number of times in recent years - all basal-cell carcinoma. He has always been the ultimate professional but with a kind and gentle manner that calms any anxiety a patient might be feeling. And when my most recently removed skin tested positive for melanoma I was anxious indeed! This time it was a spot on my cheek that would require a large amount of tissue removal, a biopsy of the closest lymph node, and skin grafting, all done under general anesthesia. But I need not have worried. Dr. Mian was reassuring and amazingly skillful, the surgery was successful, the melanoma contained, and the complicated skin graft has healed so well that the incision on my face is already starting to disappear. Thank you, Dr. Mian! 

J.H.

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I...

Can’t recommend Dr Genoway enough! I was looking for a reconstructive surgeon for 5 years, had several consultations with other doctors. As soon as I met Dr Genoway, I knew I found my doctor. She is knowledgeable, experienced, kind and caring. Dr Genoway listened to all of my concerns, gave me honest medical opinion, including to comeback in a few years as I am too young for a particular procedures. I felt comfortable and not rushed or pressured. Most importantly I felt safe and in good hands. Ended up having my postpartum reconstruction and 2 other procedures (long time dream) in one go. Recovery was fast considering the extent of the procedures. I didn’t need the prescribed pain medication at all. She just has this “light hand”. Most importantly, the results are better than expected! Natural looking, better version of me, but still me. I feel more confident and much happier in my own skin.

M.Y.

I had my breast surgery in Plastic Surgery Group. Well organized safe and the best care during my surgery. Thank you guys and wish you all the best. 

G.M.

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery w...

I was a novice to surgery and the staff here were amazing - very friendly and helpful. Dr. Lee was very calm and knowledgeable and answered my questions. Breast reduction surgery was scary to me but I have zero regrets. Barely any pain or discomfort after surgery and any back pain I had before is now gone. I walk straighter and clothes fit better. My self esteem has improved. Would recommend this office and the actual surgery to anyone considering it. It’s a game changer.

T.W.

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence ...

Highly recommend Dr. Prince. Had a breast reduction Oct.20....best decision Ive ever made. Dr. Prince was so professional and helpful. Great bedside manner. If you're on the fence of having this operation, go for it!! The pain level was a 1, if that. I kept waiting for the shoe to drop and the pain to hit me, never happened. Two week post op...ready to play tennis, but will wait another week. Thank you Dr.Prince and Lori!

J.P.

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Alw...

Dr.Oxley has been patient and very kind throughout my procedure making my experience less stressful and much more manageable. Also his office staff are a pleasure to work with. Always greeting you as you come in and happy to answer any questions and concerns over the phone or via email. I never once felt alone during this process. Overall I recommend this capable and compassionate team. You'll be in good hands.

J.H.

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I ...

I am a breast cancer survivor. After my reconstruction surgery failed I was referred to Dr Imran Ratanshi. His kind demeanor and great sense of humor put me at ease immediately. I was in a very dark place emotionally due to the appearance of my body. Dr. Ratanshi preformed a deep inferior epigastric perforator surgery and it was a complete success. I believe Dr Ratanshi saved my life! A very skilled surgeon and a wonderful man.

J.C.

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best...

Absolutely amazing Suman is amazing at her job a big thank you. Dr R Mian so professional and made me feel so comfortable. A true artist in his field. I had a breast reduction Best think I ever did for my health. Thank you Suman worth your weight in gold. Dr Mian Life changing can't not begin to Thank you. Absolutely best experience

C.A.

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort ...

I had an exceptional experience with Dr. Genoway and their team. From the initial consultation to the surgery day, I felt an unwavering sense of compassion and support. The effort on their end to look after my needs put me at ease. The seamless communication and follow-up care post-surgery further solidified my trust in their expertise. I was truly impressed by the pride they take in their work, and I'm grateful for the wonderful care I received. 

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Who Is a Good Candidate?

You may be a suitable candidate for buccal fat removal if you:

  • Have naturally full or “baby-faced” cheeks that persist despite a healthy lifestyle
  • Desire a slimmer, more angular facial appearance
  • Are in good overall health and maintain a stable weight
  • Have realistic expectations about surgical outcomes

Patients who are already very lean may not be ideal candidates, as removing too much cheek fat could result in a hollow appearance as the face naturally thins with age. During your consultation, your surgeon will evaluate your anatomy and guide you toward the best approach for your facial structure and goals.

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What to Expect During Your Consultation

At your first visit, your surgeon will carefully assess your facial proportions, skin quality, and fat distribution. You’ll discuss your aesthetic goals and the level of definition you want to achieve. Our team prioritizes results that are balanced, natural, and proportionate, enhancing your features without over-correction.

You’ll also learn about complementary procedures that can enhance your results, such as chin augmentation, neck liposuction, or facial fat grafting for patients seeking comprehensive contouring.

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Buccal Fat Removal Procedure

This procedure is performed under local anaesthetic and typically takes less than one hour.
Your surgeon will:

  • Make a small incision inside each cheek.
  • Carefully locate and remove a portion of the buccal fat pad through this incision.
  • Close the incision with dissolvable sutures.

Because the incisions are entirely internal, there are no external scars. The amount of fat removed is customized for each patient to ensure that the final result enhances your natural facial structure rather than creating a hollow or over-sculpted look.

Recovery and Results

Buccal fat removal typically involves a smooth and straightforward recovery. Most patients experience mild swelling or tenderness in the cheeks during the first few days following surgery. Typical recovery milestones include:

  • Return to light activity: Within 1–2 days
  • Resume work or social activities: Within 3–5 days
  • Noticeable reduction in swelling: Two to three weeks
  • Final results: Three to four months after surgery, once all swelling subsides

During early recovery, patients are advised to maintain good oral hygiene and follow a soft-food diet for several days to support healing. As swelling gradually decreases, the cheeks become more defined, revealing a slimmer and more sculpted facial contour.

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Potential Risks

When performed by an experienced surgeon, buccal fat removal is safe and predictable. However, all surgical procedures carry some risk. Possible complications include:

  • Temporary swelling or bruising
  • Mild discomfort or tightness in the cheeks
  • Infection or delayed healing
  • Minor asymmetry

Our surgical team provides thorough aftercare instructions and close follow-up to ensure your recovery is comfortable and successful.

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Frequently Asked Questions Buccal Fat Removal

Will I have visible scars after buccal fat removal?

No. Incisions for buccal fat removal are made entirely inside the mouth, so there are no visible external scars.

Is buccal fat removal permanent?

Yes. The fat pads removed during surgery do not grow back. Maintaining a stable weight can help preserve your results over time.

When will I see my final results?

Most swelling improves within a few weeks, although final facial contours typically become visible after about three to four months.

Can this be combined with other procedures?

Yes. Buccal fat removal is commonly combined with procedures such as chin augmentation, neck liposuction, or dermal fillers to enhance overall facial balance.

Does it make you look older over time?

Not when performed conservatively. Surgeons remove only the necessary amount of fat to preserve long-term facial harmony and avoid an overly hollow appearance as you age.

Take the Next Step

Interested in refining your facial contours? Schedule a consultation with PSG in Surrey, British Columbia, to learn how buccal fat removal can enhance your natural definition and facial balance.

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Schedule a Consultation

Schedule a consultation with one of our surgeons and get honest guidance tailored to your aesthetic goals, right here in Surrey.

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