Buccal fat removal

The buccal fat layer is a round fat mass in the middle of the cheek. It is located between the facial muscles, in the hollow area under the cheekbones. The size of the buccal fat pads influences the shape of the face. Everyone has buccal fat. However, the size of the fat pads can vary greatly. If you have large fat pads, you may feel that your face is too round or too full. If you want to make your cheeks smaller, the doctor can remove your buccal fat. The result of the operation is to make a round face less wide.


Under local anaesthetic, the doctor makes small incisions on the inside of the cheeks. The round fat lobe in your cheek is removed. This may feel a bit tight, but it won't hurt. The incisions are sutured with dissolvable sutures after the fat has been removed. The procedure can be compared to a dental treatment. After the procedure, we prescribe antibiotics and advise you to rinse your mouth regularly with water. Because the incision is made on the inside of the cheek, there is no visible scar.


Removal of buccal fat can only be performed by a specialist. There are many nerves at the site of the buccal fat and that entails risks. If the procedure is performed by a specialist, the risks are nil. The procedure takes about 45-60 minutes. The surgery has an immediate effect. Your face looks slimmer and more defined.

The removal of the buccal fat is often done in combination with a Belkyra treatment, face slimming with botox and/or fillers at the chin and jawline. Our doctors can advise you well about this.

-- FAQ (gekoppeld)

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You will be invited for a consultation prior to any surgery. During this appointment you will meet the doctor who will operate on you. The doctor will listen to your wishes and provide you with expert and honest advice about the possibilities, limitations, risks and possible complications. The aim of the interview is to go through all aspects of the treatment with you. The doctor can determine whether the desired outcome can be achieved, may recommend an alternative, will review your medical history, and may request preoperative testing relevant to your surgery. Furthermore, photos are always taken for your medical file. This is for our own administration. Nothing will ever be shared with third parties without your permission. Finally, the doctor will provide you with advice for the recovery period after surgery.

As soon as you make an appointment, you will receive a confirmation by email and a medical questionnaire. It is important that you fill this in carefully, so that our doctor can take this into account in preparation for the eyelid correction.

The following topics will be discussed during the consultation:

  • Your medical history
  • Your treatment plan
  • Your possible result
  • Precaution
  • Aftercare
  • The control moments

Before the Operation

The correction takes place under a local anaesthetic. As a result, you should not consume alcohol for two weeks before the operation. You must be sober during the operation, which means that you are not allowed to eat or drink anything from 8 hours before the operation.

If you use blood-thinning medicines, you must inform your treating doctor. In consultation with your doctor, you can stop taking painkillers and blood thinners, such as arbasalate calcium (Ascal) and acetylsalicylic acid (Aspro or Aspirin) two weeks before the procedure.

If you use Marcoumar or Sitrom, we recommend that you stop taking this in consultation with the thrombosis service and your attending physician.

The Operation

The procedure takes about 45-60 minutes and is performed under a local anaesthetic. The doctor makes an incision on the inside of the cheek and removes the fat pad. You will not feel anything from the procedure. The procedure is comparable to a dental treatment.

After the Treatment

You can go home immediately after the operation. Because you have had surgery and received medication, you are not allowed to drive yourself. We recommend having someone pick you up. Avoid intensive chewing of solid foods and do not drink hot drinks such as coffee and tea for the first 24 hours.

The anesthetic injections may still be sensitive after the procedure. In addition, you may experience post-pain. Take a paracetamol for this.

Avoid pressure

It is important that you avoid pressure on your head as much as possible during the first two weeks after surgery. That means no sports and no heavy household chores. Keep your head upright. When sleeping, it is best to use two or three pillows, for 3 days, to keep your head upright as much as possible.

Taking a shower

You can take a shower after the operation. The suture is in your mouth and cannot be affected.


You can wear make-up after the procedure.


Sports or other strenuous exercise puts extra pressure on your face. We therefore advise you to avoid this type of exertion during the first two weeks after the procedure.


Sunlight is not a problem, just don't look for heat sources such as the solarium and the sauna. This slows down the recovery process.


Alcohol consumption is not allowed from two weeks before and after the procedure. Alcohol thins the blood, causing the wounds to bleed more than usual during and after the procedure.


€ 1.500.-

Frequently Asked Questions

Is buccal fat removal covered by health insurers?

The removal of cheek fat is an aesthetic procedure most of the time. The aim of the procedure is therefore not to improve your health. The aim of the procedure is to improve your appearance. Surgeries without medical necessity are usually not reimbursed by insurers. If you want to know more about reimbursements, we advise you to contact your insurance company.

Do I have to be under anesthesia if my cheek fat is removed?

A local anesthetic is sufficient for this procedure. You can compare the procedure with a dental treatment.

Can I drive immediately after removing my cheek fat?

No, you cannot drive yourself after the procedure. We even recommend asking someone to stay with you for the first 24 hours. In any case, ask someone close to you to travel with you.

Are scars visible after the procedure?

No, the incision the doctor makes is on the inside of the cheek. You will therefore in no case be left with visible scars.

Can I go back to work quickly after the procedure?

Take enough rest after the procedure to allow your body to recover properly after the procedure. Our advice is therefore not to go back to work immediately. You can resume your work at your own pace after a week. So, depending on the type of work, you can go back to work after about a week. You may not perform any physically demanding work for the first four weeks. Do you have physically heavier work? In that case, keep in mind that it will take four to six weeks before you can start working.


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