

Size is largely genetic, so they often persist despite diet and exercise
Through a small incision inside the mouth, the surgeon gently exposes the fat pad and removes a conservative amount.
No skin is cut on the outside of the face
The inner incision is closed with dissolvable sutures
Remaining tissues settle as swelling fades

The goal is refined definition – not a hollow or overdone look
Bone structure can show through in a way that still feels like you
Overall good health and finished with facial growth
A slightly fuller midface with strong underlying structure is often a better starting point than a face that is already very slim
Your face is already thin
You expect large weight changes
You have significant medical issues that raise surgical risk

You may be asked to pause certain medications
Arrange a ride home
Follow eating or drinking instructions based on the anesthesia plan
A discreet incision is made near the back of the mouth
The fat pad is identified and a measured amount is removed
The surgeon checks for symmetry before closing
Local anesthesia
Sedation
General anesthesia
Soft or liquid diet
Careful oral rinsing
Head elevation to help protect the incisions
Cold compresses on the outside of the face
Prescribed or approved pain relief
Rest to keep early discomfort manageable
Avoid strenuous exercise until you are cleared
Do not smoke, as it can slow healing
Sleep with your head raised
Skip very hot, spicy, or crunchy foods until the inner cheeks have settled

Many patients notice a slimmer look by about one to three months
A clearer picture around three to six months

Surgeon experience
Operating-room fees
Anesthesia type
Complexity of your anatomy
Combining care with another procedure, when appropriate

David C. Yao, MD, FACS
Vas N. Sabeeh, DO, FACS
Molly F. Walsh, DO
Chin/ear augmentation
Monday through Thursday 9:00 a.m. to 5:00 p.m.
Friday 9:00 a.m. to 4:00 p.m.