Full, rounded cheeks can persist even at a healthy weight, softening facial angles and masking definition. At Dr. Paul Durand Plastic Surgery in Miami, FL, buccal fat removal is a minimally invasive procedure that reduces excess volume in the lower cheeks–revealing cheekbone definition and enhancing facial contour. Dr. Paul Durand, a board-certified plastic and reconstructive surgeon trained at the Cleveland Clinic and Dallas Plastic Surgery Institute, uses precision techniques to remove buccal fat safely and conservatively. “Definition without distortion is the goal,” he explains–providing refined, natural results that highlight each patient’s unique facial structure.
Expertise in Buccal Fat Removal: Precision Over Excess
Buccal fat removal requires a careful, measured approach. “Too much removal can prematurely age the face. My focus is subtle contouring,” says Dr. Durand. His advanced training at the Cleveland Clinic–where he participated in the nation’s first face transplant–and the Dallas Plastic Surgery Institute informs his work in facial sculpting. At our Miami office, he tailors each procedure based on cheekbone prominence, skin thickness, and long-term aesthetic goals–delivering a refined, balanced result.
What Is Buccal Fat Removal?
Buccal fat removal is a cosmetic procedure that reduces the buccal fat pad, a natural pocket of fat in the lower cheeks. By carefully removing a portion of this fat through a small incision inside the mouth, the face becomes slimmer and more sculpted–particularly around the cheekbones and jawline. “It’s a subtle but striking change,” Dr. Durand notes. At our Miami practice, this procedure creates a more contoured, V-shaped appearance without external scarring and with minimal downtime.
Common Concerns Addressed with Buccal Fat Removal:
- Full or “baby face” cheeks – Slims and sculpts lower cheeks for a mature, refined look
- Lack of definition – Enhances facial angles, emphasizing cheekbones and jawline
- Bulky lower face – Creates better proportions and a more contoured silhouette
- Persistent fullness despite weight loss – Targets genetically retained fat
- Desire for camera-ready contours – Delivers sharper definition ideal for photos and video


Dr. Durand’s Customized Surgical Approach
Each procedure begins with an in-depth consultation at our Miami office, where Dr. Durand evaluates facial structure, fat pad volume, and skin elasticity. His approach includes:
- Intraoral Incision: A discreet incision inside the mouth–no external scars
- Conservative Fat Removal: Carefully measured fat removal to avoid hollowing and maintain youthful volume
- Symmetry Checks: Continuous assessments during surgery to ensure balanced, even results
- Sterile Technique: A streamlined, under-one-hour procedure performed under local anesthesia with oral sedation
- Optional Pairing: May be combined with chin augmentation, jawline contouring, or facial liposuction for comprehensive sculpting
“Balance is critical,” Dr. Durand emphasizes–every adjustment is made with long-term facial harmony in mind.
Is Buccal Fat Removal Right for You?
You may be a strong candidate if you:
- Have naturally full or rounded cheeks that persist regardless of body weight
- Want a more contoured, defined look in the lower face
- Seek sharper cheekbone-to-jawline distinction
- Are in good health, a non-smoker, and have good skin elasticity
- Have realistic expectations and understand the importance of a conservative approach
Dr. Durand will assess your goals and anatomy to ensure the procedure is a good fit for your facial structure.
What to Expect During Buccal Fat Removal
The procedure typically takes under an hour and is performed in-office under local anesthesia with optional oral sedation. It includes:
Consultation
Facial mapping, photography, and treatment planning
Procedure
A small incision is made inside each cheek and the fat pad is gently removed
Closure
The incisions are closed with dissolvable sutures–no bandages or visible scars
Recovery
You will return home the same day with detailed aftercare instructions
What to Expect During Recovery
Recovery is typically quick and minimally disruptive:
Days 1-3
Mild swelling and soreness inside the cheeks; soft foods and gentle rinsing recommended
Week 1
Most swelling subsides and comfort improves; subtle facial changes begin to appear
Weeks 2-4
Continued refinement; full activity is usually resumed
Months 2-3
Final results become visible as swelling resolves and contours stabilize
Dr. Durand provides follow-up care and recovery guidance to ensure symmetry, healing, and patient satisfaction.

Frequently Asked Questions About Buccal Fat Removal
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A minimally invasive procedure that removes excess fat from the lower cheeks to enhance facial contour and definition.
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No. Dr. Durand uses a conservative, precise technique to enhance structure without creating hollowness.
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No. The incision is made inside the mouth and heals discreetly with dissolvable sutures.
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Most patients return to work and normal activities within one week. Final results appear in 2 to 3 months.
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Schedule a consultation at our Miami office–your facial sculpting journey starts here.
Why Choose Dr. Durand for Buccal Fat Removal in Miami
Dr. Paul Durand is a board-certified plastic surgeon known for his precision and dedication to achieving natural-looking facial harmony. With elite training from the Cleveland Clinic and Dallas Plastic Surgery Institute, he uses a conservative, intraoral technique that leaves no visible scarring while enhancing cheek and jawline definition. Each procedure is carefully tailored to maintain softness while refining facial contours–never harsh or overdone. Trusted by patients across Miami and South Florida, Dr. Durand delivers balanced, elegant results that elevate your natural features with subtlety and skill.
Reveal a More Sculpted Look with Buccal Fat Removal in Miami
If full cheeks are hiding your natural definition, buccal fat removal at Dr. Paul Durand Plastic Surgery in Miami, FL, offers a precise, long-lasting solution. With artistry and care, Dr. Durand sculpts elegant contours–helping you feel confident and camera-ready. Schedule your consultation today and take the first step toward a more defined, refined look–crafted by South Florida’s leading facial plastic surgery expert.
Where to begin! From the very first consultation with Dr. Durand I was sold on his professionalism and his knowledge, in regards to my procedure. He understood exactly what I wanted. Today, I am one week post op I’m truly impressed by my results and progress. My recovery has been 100% seamless (I have had zero pain and zero complications). Dr. Durand changed my life and cannot recommend him enough!
Medically reviewed by Paul D. Durand, M.D. on
