Facial aesthetics play a major part in how we perceive beauty. A well balanced face brings harmony to the facial anatomy. These parameters do not necessarily need to be a small nose, or a strong chin, facial aesthetics or harmony to the facial features means bringing balance between the patients three quadrants of their face. One complaint often seen, is a round full lower cheek in the bottom quadrant of the face. This “appearance” is often referred to as ‘chipmunk cheeks’ or a ‘baby face.” Often times this a hereditary condition which gives an appearance of plump lower cheeks. Many times patients think this problem may be resolved by diet or exercise, however this situation is caused by excess buccal fat which is unresponsive to diet and exercise. Removal of this fat pad is a surgical procedure designed to reduce this fullness in the lower cheek. This procedure can provide a nice contour to the patients facial aesthetics.