Buccal fat is an encapsulated collection of deep fat in the cheeks located next to the upper molar teeth and deep to some of the facial muscles.  Buccal fat is deeper and below the facial nerves, so it is usually removed safely and more consistently through a small incision inside the mouth. Too much removal can create an unhealthy appearance later in life. It may be helpful to notice if this trait persists in your parents before making the decision to have it reduced. When appropriate, it can help provide enhanced definition of the facial structure. Buccal fat removal can be performed in the office using local anesthetic and sedation.