Cheek Reduction in Eugene, Oregon
Buccal Fat Removal in Eugene, OR
Buccal fat removal is a facial contouring procedure that reduces fullness in the cheeks and creates a more defined facial appearance. Patients seeking facial refinement often explore this option when persistent cheek fullness obscures their natural bone structure. Dr. Reza Najafian, trained at Johns Hopkins School of Medicine and Oregon Health and Science University, offers personalized surgical planning to help patients achieve natural, balanced results that complement their unique facial features.
What Is Buccal Fat Removal?
Buccal fat removal, also known as buccal fat pad reduction, involves the surgical extraction of encapsulated fat pads located in the lower cheeks between the buccinator muscle and facial muscles. These fat deposits contribute to a rounder facial contour. The procedure is particularly popular among adults in their twenties through forties who have good facial bone structure but want more definition in the midface area.
Dr. Najafian evaluates each patient's facial anatomy, skin elasticity, bone structure, and aesthetic goals to determine whether buccal fat removal will achieve the desired outcome. His surgical background in both plastic and reconstructive surgery provides a comprehensive understanding of facial anatomy, which is critical for achieving results that look natural over the long term.
At our Eugene practice, consultations include a detailed facial analysis and discussion of how your face may change with aging. This careful planning helps prevent the hollow appearance that can occur when too much fat is removed or when the procedure is performed on patients who lack adequate facial volume.
How Buccal Fat Pads Affect Facial Contours
Buccal fat pads are bilateral structures positioned below the cheekbones in the hollow of the cheeks. Their size is largely determined by genetics, which explains why some people maintain fuller cheeks regardless of their overall body weight. When these pads are prominent, they can mask the underlying zygomatic arch, preventing the appearance of defined cheekbones or a sculpted jawline.
Comparing Buccal Fat Removal to Other Options
Buccal fat removal addresses a different anatomical area than non-surgical treatments like Kybella, which dissolves submental fat beneath the chin. While chin liposuction addresses the lower face and neck, buccal fat removal specifically targets the midface. Dr. Najafian assesses whether surgical removal, alternative procedures, or a combination approach best serves your goals based on your complete facial anatomy.
Signs You May Be a Candidate
Ideal candidates for buccal fat removal are in good overall health, maintain a stable weight, and have realistic expectations about their results. The procedure works best for individuals with naturally fuller cheeks who seek subtle refinement rather than dramatic transformation.
Age plays a significant role in candidacy. Younger patients with adequate facial volume tend to experience better long-term outcomes. Dr. Najafian typically recommends waiting until at least age 25 when facial development is complete and patients can better understand how this permanent change will affect their appearance over time.
Factors That Influence Candidacy
Key considerations include:
Overall health status and ability to heal properly
Facial bone structure and existing fat distribution patterns
Smoking status, as tobacco use significantly impairs wound healing and increases complication risk
Long-term aesthetic goals and understanding of how facial volume naturally decreases with aging
Weight stability, as significant fluctuations can affect facial appearance
An in-person evaluation at our Eugene office allows Dr. Najafian to assess your facial anatomy through physical examination and discuss whether this procedure aligns with your objectives.
What to Expect During the Procedure
Buccal fat removal is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia, depending on patient preference and medical considerations. The surgery typically takes 45 to 60 minutes, and incisions are made inside the mouth along the mucosa, leaving no visible external scars.
Step-by-Step Overview
Anesthesia is administered for comfort throughout the procedure
Small incisions (approximately 2-3 cm) are created on the inside of each cheek
The buccal fat pad is gently exposed through careful dissection
The appropriate amount of fat is carefully removed based on pre-operative planning
Incisions are closed with absorbable sutures
Post-operative monitoring occurs before same-day discharge
Combining Buccal Fat Removal With Other Facial Procedures
Some patients pursue buccal fat removal alongside complementary procedures for comprehensive facial contouring. Common combinations include chin liposuction for jawline definition or liposuction in the neck area. Dr. Najafian develops surgical plans that address multiple aesthetic concerns while considering overall facial harmony and proportions.
Recovery Timeline and Patient Care
Most patients experience swelling and mild discomfort for several days following surgery. You can typically return to work and light activities within three to five days, though visible swelling may persist for two to three weeks. Final results become apparent after three to six months once all swelling subsides and tissues settle into their new contours.
Dr. Najafian provides detailed post-operative instructions and remains available for questions throughout your recovery period.
Tips for Recovery
Stick to soft foods for the first week to avoid irritating incisions
Apply cold compresses to reduce swelling during the first 48 hours
Sleep with your head elevated to minimize fluid accumulation
Avoid strenuous exercise for at least two weeks
Attend all scheduled follow-up appointments