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Buccal Fat Removal

Many patients seek a change to the shape or volume of their cheek area, alone or in combination with other aesthetic enhancements. In some cases, there is extra fat in the cheeks despite a shapely face overall. These patients complain of “chubby cheeks” or a “baby face” and suffer from an unaesthetic width of the mid-cheek area relative to other features. This may be related to an over-developed or overly prominent buccal fat compartment (Bichat’s fat pad). In such patients, the fat of the cheek can be reduced by a procedure called buccal fat extraction (cheek reduction surgery).

Cheek reduction can be performed under local or with light sedation and may accompany other cosmetic procedures (such as rhinoplasty). In some cases, buccal fat removal can be performed with placement of cheek implants implants to make a more significant change in the facial contour. All incisions are hidden in the mouth, so there are no external scars! With a subtle decrease in the width and fullness of the submalar region (the part of the cheek next to the mouth), significant improvements in the harmony between facial areas can be achieved.

Who is a candidate?
Anyone who desires a slimmer face, with decreased projection or fullness in the middle cheek area may be a candidate for buccal fat reduction. The only contraindications would be previous surgery in the cheek region or of the parotid gland. The key to any facial surgery is identifying the most appropriate procedures to achieve the greatest aesthetic enhancement, while still looking natural. Dr. Ransom will work closely with you throughout this process.

Frequently Asked Questions

Q: I like some parts of the shape of my face, but not the full and “chubby” appearance of my cheeks. Will buccal fat reduction change the shape of my face?
A: Yes, though the results are subtle and natural-appearing. Depending on how slim you want your face to look, the amount of fat removed can be varied. There is, however, a limited amount of fat in the buccal area and fat from other parts of the midface cannot be removed safely. Dr. Ransom works closely with all of his patients to select the best procedure or combination of procedures to meet their aesthetic goals. More information about facial contouring is available during your consultation.

Q: If I decide later in life that I want a fuller face, can the fat be replaced?
A: Yes, cheek fat can be augmented later in life by facial fat grafting (micro-lipoinjection). Though this request is uncommon, fat can be added to the middle cheek area after harvesting fat cells from the abdomen or other areas of the body. Please see the procedure page for facial fat grafting for more information. Dr. Ransom can discuss the details of all facial contouring procedures during your consultation.

5.0

Based on 19 reviews

Christina G.
I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!
Tk I.
I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!
Joey B.
I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.
Edward T.
Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.
Lisa C.
Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.
Cheryl H.
Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.
Jill P.
I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.
Arielle C.
Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.