Slide Buccal Fat Pad Excision The buccal fat pad is a deep pocket of fat below the malar eminence (cheek) and behind the buccinator muscle which can produce a more rounded and full face. Buccal Fat pad excision can be performed to improve the definition of the face and narrow an excessively round face. While the procedure is subtle in its overall result, when performed correctly it can produce a more prominent depression (contour) below the cheek region. This procedure is done through an incision to the inside of each cheek and gently removing the fat pad from each side providing a “thinning” effect of the lower cheek region. Post Procedure Instructions