Buccal fat removal is a procedure to remove the fat pads which are located in the cheek between the nostril and corner of mouth. Excess buccal fat results in a very full and round face appearance. It can be performed under local anesthesia. Make a small incision in the cheek inside the mouth, and tease out the buccal fat pad. The perfect amount of fat is removed to give the face a more defined attractive “V” shape.