As a part of his facial sculpting procedures, Dr. Hoefflin performs a natural cheek reduction procedure known as buccal fat pad removal or buccal fat pad excision (buccal lipectomy). Ideal candidates are patients with excessive fullness in the cheek area, also referred to “chubby cheeks” or “chipmunk cheeks.”

Dr. Hoefflin performs the buccal fat excision and other facial rejuvenation surgery for patients who wish to further enhance their facial balance and restore harmony. A more sculpted midface with well-defined cheekbones can help to create a more youthful and attractive appearance, and often improve one’s self-confidence. Patients are usually highly satisfied with their appearance after the buccal fat removal surgery.

During your consultation with Dr. Hoefflin, an individual facial analysis, along with digital photograph will allow Dr. Hoefflin to provide you with his professional expertise and recommendation. He will determine if you are in fact a good candidate for a buccal fat pad removal procedure. Customized literature will be provided that discusses each procedure in detail. Before and after photographs of similar cheek reduction patients will be reviewed.


Dr. Hoefflin performs his Los Angeles and Beverly Hills buccal fat removal procedure as an outpatient procedure under local anesthesia with deep sedation, administered by a board-certified anesthesiologist. The procedure generally takes about 1 hour. All operations are performed in fully credentialed and state-of-the-art surgical facilities.

The buccal fat pad is easily accessed from small incisions within the mouth, excised, and then closed with self-absorbing small sutures.

Although frequently performed as an isolated procedure, buccal fat removal can be performed in combination with other procedures such as a cheek or chin implant, facelift, nose reshaping (rhinoplasty) and facial liposuctioning to enhance your overall aesthetic result.


After your surgery, you’ll be discharged home with head dressings. Patients can anticipate mild to moderate swelling for several days, similar to having any oral procedure performed. Head elevation is encouraged for the first few days after surgery to help decrease swelling.

Our patients are surprisingly free of discomfort due to Dr. Hoefflin’s long-acting local anesthetic injections and nerve blocks. Any residual discomfort is easily controlled on oral pain medication. Small and meticulously placed self-absorbing sutures provide little discomfort. The final result becomes apparent 4-6 weeks after your procedure.


When performed by a qualified plastic surgeon, the risk of serious problems after buccal fat removal or cheek reduction surgery are rare. Most complications are minor, temporary, and can be easily resolved with conservative treatment and time. Specific risks and the suitability of buccal fat pad removal procedure for a given individual can be determined at the time of consultation. You can reduce your risk of complications by closely following your surgeon’s instructions both before and after surgery.

To learn if you are a candidate for buccal fat removal or cheek reduction in Los Angeles or Beverly Hills, contact board-certified Plastic Surgeon Dr. Hoefflin for a complimentary consultation.



Above (2 sets): Facial rejuvenation. Dr. Hoefflin performed buccal fat removal, facelift, necklift, upper and lower eyelid lift, and jowl liposuctioning. Notice the dramatic improvement in her facial, jawline, and neck contouring.

Above (3 sets): Buccal Lipectomy, face and neck liposuction. Reduction in both fat and skin “tightening” obtained. no visible scars.

These before & after photographs are patients of Los Angeles plastic surgeon Dr. Hoefflin, who have given permission to have their photos published. They are for illustrative purposes only. While these photos depict actual patients, they are not a guarantee of results. Individual results for the Los Angeles and Beverly Hills buccal patients may vary.