Having buccal fat removal surgery is not a suitable treatment option for everyone, and suitability is decided by the doctor during the initial consultations. Depending on multiple factors including your individual facial structure, aesthetic goals, and result expectations, a buccal fat pad removal procedure may be an option for you. Before deciding to have surgery, all patients must understand that our faces lose volume and subcutaneous fat as we age, and buccal fat removal can cause the lower face and cheeks to look too hollow and gaunt over time.