Research is mixed as to whether the buccal fat increases or decreases in size or remains the same size with aging. Therefore, only a small percentage of the actual fat present in the buccal space is removed with surgery. Also, this procedure is only performed on individuals with large buccal fat pads who are at a stable weight without anticipated significant weight loss. These considerations reduce the risk of more dramatic changes developing with aging. The decision to undergo buccal fat removal depends on an individual’s aesthetic goals, the acceptance of results meant to reduce any potential risks with the procedure, and the understanding that aging can be unpredictable, especially over longer periods of time.