Buccal Fat Pad Removal In Denver, CO
At Flourish Surgical Arts, we offer buccal fat pad removal to help patients achieve more defined, more sculpted cheekbones. For some adults, overly full cheeks can cause the face to look rounder or less defined than desired. Thanks to advances in facial slimming methods, it is now possible to enhance cheekbone definition and achieve a more sculpted appearance.
Our skilled triple-board surgeon, Dr. John R. Nesiba, has a particular talent for subtle, refining procedures that augment the face without interrupting its natural harmony. Whether looking to enhance angular features or achieve a more mature, chiseled aesthetic, our approach ensures results that appear natural and refined.Â


What Is Buccal Fat Pad Removal?
Buccal fat pad removal is a cosmetic procedure that thins and contours the lower cheeks by removing excess fat from the buccal fat pads. It enhances cheekbone definition and provides the face with a more chiseled appearance. During the procedure, Dr. Nesiba makes small incisions inside the mouth to carefully remove a portion of the excess buccal fat pad. This way, he creates a naturally sculpted look without any visible scarring and creates youthful facial contours.
Buccal Fat Pad Removal Techniques
Standard Buccal Fat Pad Removal
Customized Buccal Fat Contouring

Buccal Fat Pad Removal Procedure
The Surgery
- Marking and Anesthesia: On the day of the surgery, Dr. Nesiba marks the areas on the inner cheeks where the incisions are to be made. Since buccal fat removal is a minimally invasive and relatively short surgery, it is typically performed under local anesthesia with or without sedation. It keeps the patient comfortable and allows for a speedy recovery.
- Incisions and Fat Removal: Once the patient is numbed, our surgeon makes small incisions inside the mouth, near the inner lining of the cheeks. Then, he gently extracts a predetermined amount of fat to contour the cheekbones. The amount of fat removed is carefully tailored to each patient’s facial anatomy to prevent an over-hollowed look.
- Closing the Incisions: After achieving the desired shaping of the face, Dr. Nesiba then closes the incisions with absorbable sutures. The surgery usually takes 30 to 45 minutes, and patients can return home the same day.
Initial Consultation and Evaluation
Then, Dr. Nesiba suggests carrying out a full medical examination to rule out any medical conditions that could interfere with the procedure. Although buccal fat removal is a minimally invasive treatment, certain conditions may render a patient ineligible for the procedure, such as:
- Severe facial asymmetry
- Thin faces naturally that tend to look too hollow with fat loss
- Bleeding disorders or healing-affecting conditions
- Chronic or infectious diseases
Recovery After Buccal Fat Removal
First Few Weeks
Swelling takes two to four weeks to resolve and reveal more natural breast contours. Patients must avoid pressure on the breasts, strenuous exercise, and excessive movement in order to maximize fat survival. Compression garments may be worn to support the donor region and reduce swelling.
Long-Term Outcomes
Immediate Recovery
The procedure is relatively quick and minimally invasive. So patients can return home on the same day. Following the procedure, they can feel some swelling, tenderness, and bruising of the cheeks. Since incisions are placed inside the mouth, a soft diet is recommended for the first few days to minimize irritation. Discomfort can be managed with prescribed pain medication and cold compresses. Dr. Nesiba provides detailed aftercare instructions, including oral hygiene, to prevent infection.
Candidates for Buccal Fat Pad Removal
- Excess Cheek Fullness:Â The majority of patients seek this procedure because they inherently possess full or chubby cheeks that don't lose volume when they lose weight.Â
- Desire for Better Cheek Contours: This is an ideal option for those who want to accentuate their cheekbones and have a more sculpted facial appearance.Â
- Stable Weight: For the best long-term outcome, patients are recommended to be at or near their ideal weight before undergoing buccal fat pad removal. Severe weight fluctuations after surgery can affect facial contours, potentially diminishing the result.
- Good Skin Elasticity: Patients with good skin elasticity get the best results because their skin can naturally conform to the new facial shape once the fat is removed.Â
- Non-smokers: Nicotine affects proper healing and overall skin quality, increasing the risk of complications. To obtain the optimum result, patients need to be non-smokers or be willing to quit smoking four weeks before and after the operation.
Benefits of Buccal Fat Pad Removal
Enhanced Facial Definition
Balanced Facial Proportions
Improved Confidence
Permanent, Long-Lasting Results
Minimally Invasive with No Visible Scars

Cost of Buccal Fat Pad Removal in Denver, CO
Flourish Surgical Arts Is the Top Choice for Buccal Fat Pad Removal in Denver, CO
