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Cheek Contouring

Buccal (pronounced "buckle") fat extraction is a procedure to remove the fat pads that augment the lower part of the cheeks. Some patients often refer to themselves as having "chipmunk cheeks" or a "baby face." It is typically a genetic predisposition and not a result of being fat or overweight.

The excision of these fat pads achieves a slenderizing, subtle thinning of the cheeks that creates a more definitive cheek contour. Destin Plastic Surgery surgeons use their expertise to carefully extract facial fat for their Florida patients. Face fat is different from jowl fat, which causes sagging more commonly seen below and along the jawline.

For more information about buccal fat extraction, request a consultationrequest a consultation online to meet with one of our surgeons, or call our office at (850) 654-1194. We provide first-class services for patients choosing facial surgery in Destin, Florida, and surrounding areas, such as Panama City, Pensacola and neighboring states.

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Dr. William Burden established Destin Plastic Surgery more than 20 years ago, and plans to guide it through the next 20 years or more. He has developed a team of dedicated and talented professionals who work together to provide first-class services to our patients in a safe, comfortable, and welcoming environment–one in which we would be happy to treat our own family members. We are proud of our legacy of innovation and leadership in the field of plastic surgery. Whether you're considering cosmetic surgery or nonsurgical aesthetic treatments, our attentive team is ready to exceed your expectations.


These fat pads are thought to help a human suckle as an infant. As we age, they slide down into the jowl, giving the appearance of chipmunk cheeks, hence the name "sliding buccal fat pads." This can be demonstrated by pushing up on the jowl; after you let go, the fat pad can be seen slowly sliding back down into the jowl during the 2 to 3 seconds that follow.

The surgeons at Destin Plastic Surgery often see patients who have previously had a face lift elsewhere in Florida but continue to complain of residual "jowling" that was not corrected by the face lift. This is usually caused by the previous surgeon overlooking the "sliding buccal fat pad."


Buccal fat extraction is an extremely technical procedure and takes very special expertise to accurately identify if the fat pad is involved, and secondly, to carefully remove it. The doctors at Destin Plastic Surgery have the experience it takes to perform such a complex surgery while preserving a natural look through conservative buccal fat removal.

During the procedure, a small incision is made inside the mouth to remove the pocket of fat, so there is no scar on the face.


You will potentially have some mild bruising and mild to moderate swelling for 1 or 2 weeks. Discomfort is usually minimal and is easily controlled with oral medication. Final results become apparent in about 3 months when all internal swelling has gone away.

William R. Burden, M.D., FACS, and L. Scott Ennis, M.D., FACS, are known for their experience and dedication to staying at the forefront of leading technology in plastic surgery. They perform more than 1,000 procedures per year, including many revisions from other places, and they specialize in minimally invasive surgery. Drs. Burden and Ennis treat patients not only from Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin for their services.

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