Buccal fat removal is just what it says on the label: the removal of fat from the buccal fat pad, a mass of tissue located deep within the cheek. The procedure is typically conducted under anesthesia.

“Buccal fat pad removal tends to be most commonly desired by women in their 20s and 30s,” he says. “This is a time when facial soft tissue tends to be more abundant.

So, as I tug on this buccal fat pad, and these internal structures where the fat pad is, people actually feel like their faces are being pulled on from the inside. It's very uncomfortable.