Dr. Young

Subtle Contouring for a More Defined Facial Shape

Fullness in the lower cheeks can sometimes soften facial definition, even in patients who are otherwise lean. While this can be a natural part of facial anatomy, it may create a rounder appearance that feels out of proportion with the rest of the face.

Buccal fat removal in Bellevue offers a focused way to refine this area. At Aesthetic Facial Plastic Surgery, the goal is not simply to reduce volume, but to create a better balance between the cheeks, jawline, and midface, without creating a hollow or over-sculpted look.

Buccal Fat Removal Overview

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What Is Buccal Fat Removal?

Buccal fat removal is a surgical procedure that reduces fullness in the lower cheeks by carefully removing a portion of the buccal fat pad. This fat pad sits deep within the cheek and contributes to facial roundness.

By selectively reducing it, the contours of the face can appear more defined, particularly in the area beneath the cheekbones. The key is restraint. Removing too much volume can lead to a prematurely aged or gaunt appearance, which is why the procedure is carefully tailored to each patient’s facial structure. Incisions are made inside the mouth through the buccinator muscle, leaving no visible external scarring.

Before & After Buccal Fat Removal

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The Benefits of Buccal Fat Removal

  • Enhanced Facial Definition: Reducing lower cheek fullness can create more sculpted contours beneath the cheekbones.
  • Improved Facial Balance: The procedure helps bring better proportion between the midface, cheeks, and jawline.
  • Slimmer Appearance: The face may appear narrower and more refined without altering other features.
  • No Visible External Scarring: Incisions are placed inside the mouth, leaving no visible marks on the skin.
  • Long-Lasting Results: Once removed, buccal fat does not return, providing lasting contour improvement.
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Follow this Buccal Fat Journey Below

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“My goal was to find a method to bring back a person’s natural youthfulness without the operated, unnatural look and that is why I have my patients bring in photos of them when they were age 5 to 30. My YoungVitalizer helps restore natural and youthful contours they haven’t seen in years.”

— Dr. Philip Young, Seattle Facial Plastic Surgeon

Am I a Candidate for Buccal Fat Removal?

Buccal fat removal is best suited for patients who feel their lower cheeks appear overly full or rounded despite maintaining a stable, healthy weight. It is often considered by individuals seeking more definition in the mid-to-lower face. Patients should have good skin quality and realistic expectations about subtle contouring rather than dramatic transformation.

In many cases, timing is important—those actively losing weight may benefit from waiting, as natural facial changes can occur with weight loss. A thoughtful evaluation is essential, as not all facial types benefit from volume reduction in this area.

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The Buccal Fat Removal Process What to Expect

Private Consultation

We evaluate your facial structure, volume distribution, and goals to determine if buccal fat removal is appropriate.

Personalized Surgical Plan

The amount of fat removed is carefully planned to maintain natural facial balance.

Procedure Day

The procedure is typically performed under local anesthesia with sedation or general anesthesia and takes about an hour.

Initial Healing Phase

Mild swelling is expected, with a soft diet and simple aftercare recommended in the first few days.

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Results and Recovery

Most patients experience swelling in the cheeks for the first several days, with noticeable improvement within one to two weeks. Many feel comfortable returning to normal activities within a few days, depending on their comfort level. As the swelling resolves, the contours of the face begin to refine.

Final results develop gradually over several weeks to months as the tissues settle into their new shape. Because facial volume naturally decreases with age, a conservative approach is essential to ensure that results continue to look balanced over time rather than overly hollow.

Why Choose Aesthetic Facial Plastic Surgery?

Buccal fat removal in Bellevue requires careful judgment, as subtle differences in volume can significantly affect long-term facial balance.

  • A Conservative, Balanced Approach: We remove only what is necessary to enhance definition while preserving natural fullness.
  • Guided by Facial Proportion: Decisions are based on how volume interacts across the entire face, not just one area.
  • Long-Term Aesthetic Thinking: We consider how your face will age to avoid results that may appear hollow over time.
  • Personalized, High-Touch Care: Each plan is tailored to your unique anatomy and aesthetic goals.
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Client Testimonials

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Amazing doctor

Amazing doctor and the result are amazing too.

—S.M.

Dr. Young is very personable

Dr. Young is very personable and was very detailed in his work, with much concern about his patients.

—L.C.

Very happy

Very happy with how my otoplasty turned out. Thanks Dr Young

—J.P.

More than pleased with the fantastic results!

I have had two procedures done by the amazing Dr. Young and am more than pleased with the fantastic results!

—C.V.

Amazingly impeccable after care

Amazingly impeccable after care from all of the staff, including of course Dr. Young who ensures the patient has access to him at all times.

—S.S.

I would recommend him to my family and friends.

My experience with Dr. Philip Young and his entire staff has been really positive! I would recommend him to my family and friends.

—J.Y.

It looks completely natural

Wonderful experience. The doctor did a little Botox around my eyes and it raised my droopy eyebrows - it looks completely natural.

—R.H.

I made the right choice.

I had a great experience. I had some deep scars from acne but now after a scar surgery, my over all skin texture is more smooth. I made the right choice.

—F.S.

A brilliant and amazing doctor.

I would like to share my experience. Dr.Philip removed a mole for me that was disfiguring my face. He removed it with a laser. It was a very wonderful experience. As I mentioned be...

—Allaa Kamill

Dr. Young is not only a superb surgeon, he is a kind, empathetic person

Dr. Young is not only a superb surgeon, he is a kind, empathetic person who values his employees, his patients and the community. He runs a very busy practice, with a long waiting ...

—Angela R.

My experience with Dr. Young and his staff was excellent.

My experience with Dr. Young and his staff was excellent. I had a blephaloplasty (eyelid lift) and from the 1st consult all the way through the follow-up care, the entire experienc...

—Tara Kenneway

The staff was super nice and accommodating!

The staff was super nice and accommodating! They were very informative. Dr Young was also very informative. You can tell he cares for all his patients! He always answers any questi...

—Haystacks Grassy

Dr. Young and his team are spectacular!

Dr. Young and his team are spectacular! They helped me with a scar revision with the utmost sensitivity and care. The follow up is amazing, they truly take time to make sure you ar...

—Amira Beidas

He went above and beyond!

Dr. Young is an outstanding plastic surgeon who is very passionate about his work. He made me feel very comfortable with the surgery I came in for. He went above and beyond!
I w...

—chuck meyer

I trust him and his work and will keep coming back!

I’ve been a patient of Dr. Young for over 10 years and have had several procedures with him, including Asian blepharoplasty, Perma lip implants, Asian rhinoplasty, and neck liposuc...

—Taylor D

Dr Phillip Young and his office are fantastic!

Dr Phillip Young and his office are fantastic! They are thorough, patient, and kind. Particularly, I appreciate Dr Young’s attentiveness and expertise - I previously went to Seoul ...

—Carolyn Chong

Truly grateful to Dr Philip Young

Truly grateful to Dr Philip Young for taking such excellent care of me before, during and after my face, neck and brow lift. I have felt well informed and well cared for through...

—Jennifer Kent

Kindest Doctor I’ve ever met!

I can’t say enough about Doctor Young! He is an amazing person and Doctor! I drive four hours there and four hours back just to see him! He is a perfectionist and loves to help peo...

—Stacia Wright

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Frequently Asked Questions Buccal Fat Removal

How much does buccal fat removal cost?

The cost varies depending on your anatomy and treatment plan, which will be discussed during your consultation.

Will my face look too hollow?

When performed conservatively, the goal is improved definition—not a hollow or gaunt appearance.

How long is the recovery?

Most patients return to normal activities within a few days, with swelling improving over one to two weeks.

What are the risks of buccal fat removal?

As with any surgery, risks include asymmetry, swelling, infection, and numbness. Because the buccal fat pad sits near branches of the facial nerve and salivary ducts, there is a small risk of nerve or duct injury. Your specific risks will be discussed during consultation.

Are there visible scars?

No, incisions are made inside the mouth and are not visible externally.

How long do results last?

Results are long-lasting, as the removed fat does not regenerate.

Is the procedure painful?

Discomfort is typically mild and manageable with standard post-procedure care.

Can this be combined with other procedures?

Yes, it is often combined with procedures such as chin augmentation or jaw contouring.

Who should avoid buccal fat removal?

Patients with naturally thinner faces or those prone to volume loss may not be ideal candidates.

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