This procedure is often sought to remedy “chipmunk cheeks” and a plump or round-faced appearance. Usually done as an outpatient procedure, buccal fat extraction is carried out by making a very tiny incision inside the mouth. Fat is then removed through this tiny opening, resulting in a more oval face. This procedure is not recommended for younger patients since when natural fat loss occurs with aging, the face will look gaunt and haggard if too much fat was removed.