Buccal Fat Pad Removal is a simple procedure that can be done in the office or in the operating room. It involves small intraoral (inside the mouth) incisions which directly exposes the buccal fat. This is carefully and gently removed and the incisions are closed with absorbable sutures. Because this is done through the mouth, there are no external incisions or scars. With this fat removed, it creates a depression underneath the cheek bones that is desirable for achieving a slimmer face.