Reduce fullness in the lower cheek when the buccal fat pad contributes — with conservative philosophy to avoid premature hollowing.
Buccal fat removal reduces the volume of the buccal fat pad through small intraoral incisions. It can refine the lower midface in appropriately selected patients.
Dr. Manandhar takes a conservative approach because excessive removal can lead to a gaunt appearance as ageing progresses.
Best suited to patients with persistent cheek fullness not explained by weight alone and with good skin elasticity. Patients who already have narrow cheeks or significant midface hollowing are often not ideal.
A thorough facial analysis distinguishes buccal fullness from masseter hypertrophy or lymphatic issues.
No external facial scars (intraoral access)
May refine lower cheek convexity in the right candidate
Clear discussion of limits vs weight and bone structure
Recovery typically measured in days to a couple of weeks for social downtime
Facial analysis
Differentiate fat pad contribution from muscle, bone, and lifestyle factors.
Intraoral removal
Controlled fat pad reduction with symmetry checks.
Closure & nutrition
Dissolvable sutures and soft diet instructions.
Follow-up
Swelling monitoring and long-term contour assessment.
Cheek swelling can temporarily mask early results. Rinse as directed, avoid chewing very tough foods early on, and attend reviews.
If you notice persistent cheek asymmetry or infection signs, seek prompt advice.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.