Excision of Buccal Fat Pad
The buccal fat pad (fat pad of Bichat) is a deep pocket of fat below the malar eminence (cheek) and behind the buccinator muscle which can produce a more rounded and full face. Buccal fat pad excision can be performed to improve the definition of the face and narrow an excessively round face.
While the procedure is subtle in its overall result, when performed correctly it can produce a more prominent depression below the cheek region. Caution must be exercised in removing too much of the fat pad as it can leave for a skeletonized appearance to the face, especially later in life.