Buccal (buk’ahl) fat lies deeper within the cheek than the more superficial fat just under the skin. The pad in some people reaches up to the temple area by extending upward under the arch of the cheek bone. If there is an overabundance of fat in the pad ones face may appear round. Over doing removal of the fat pad to achieve a waif look can make one look cadeveric if there is significant shrinkage of cheek fat with aging. For the very round face removal of the buccal fat pad should be combined with liposuction of some of the superficial fat in order to make a significant difference in the shape of the face.