Doctors Explain: Should You Have Bacarfat Removal by Your 40s? When should you have it done by?

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  • How old do you have to be to get bacarfat removal?"
  • Can Bacarfat removal be done in one's 40s?"

Hello, I am a doctor at Smart Skin Clinic.

Do you have these questions?

Bacarfat removal is a procedure in which an incision is made inside the cheek and the fat is removed.

Many people are interested in this product because of its ability to improve facial lines and create a small face effect.

Therefore, this article will provide a clear explanation from a medical standpoint on when to undergo the bacarfat removal procedure.

Please see to the end.


Should Bacarfat be removed?

'I heard you shouldn't take bacarfat?'

I don't know if they should be removed."

Some of you may be worried about this.

If you are concerned about sagging of the face and roundness around the cheeks, bacarfat removal is suitable.

Buckwheat fat is the fat on the inside of the cheeks, originally located high on the cheeks, but gradually dropping as we age.

Sagging cheeks, laugh lines, and marionette lines caused by lowered fat can be removed by removing bacal fat to give the face a more youthful appearance.

On the other hand, if you are considering a procedure with a small face effect due to fat under the chin, such as a double chin, bacal fat removal is not for you.

In this case, it is unlikely that the roundness is caused by bacal fat, and other methods such as liposuction should be considered for better results.

How old do I have to be to get bacarfat removal?

It is said that bacarfat removal should be performed when the patient is young, in his/her 20s or 30s, to prevent sagging.

The reason is that bacarfat removal is a highly effective preventive treatment.

Bacarfat is located high on the cheeks, but as we age, it can drop and cause sagging.

Removing sagging before it appears can prevent future skin problems.

Properly performed BFP (bacarfat) removal can have a definite facial slimming effect on voluminous faces and can contribute to the improvement of lower facial sagging due to BFP drooping in middle-aged and older adults.

T. Kubo, Cosmetic value of bacarfat removal in middle-aged patients, Aesthetic Surgery Journal Open Forum [Aesthetic Surgery Journal Open Forum] 2022, 1-11

On the other hand, bacarfat removal alone may not be effective for those in their 40s and beyond.

This is because as we age, the skin and fascia as well as bacal fat, the fat inside the cheeks, can become loose and sagging.

In such cases, it is possible that removal of bacarfat alone may not produce the desired result, so a combination of other treatment methods is recommended.

Bacarfat Removal in Combination with Other Treatments

If other treatments are combined to achieve satisfactory results, there are four possible combinations

(1) Baccar Fat with thread lift

A thread lift is a procedure in which threads that are absorbed by the body are threaded under the skin to lift sagging skin.

Bacarfat removal reduces fat and at the same time lifts the cheeks to give a clean, small face.

The stimulation of the cogs (like spines) on the threads forms collagen and elastin, which has the pleasant effect of increasing skin elasticity and moisture.

(2) Bacarfat combined with fat dissolving injection

Fat dissolving injection (BNLS) is a procedure that dissolves fat by injecting a drug into areas where fat is a concern.

In addition to dissolving fat, it also has lymphatic circulation and skin tightening effects, and when used in combination with Bakkar Fat, a smaller face effect can be expected.

The procedure can be easily performed without the need for anesthesia, as the drug is simply injected with a syringe.

There is almost no downtime.

(3) Bacarfat combined with hyaluronic acid injections

There is also a way to create beautiful facial lines by supplementing hyaluronic acid, which has the function of moisturizing the skin.

Hyaluronic acid is naturally present in the body, but tends to decrease after one passes one's thirties.

Since reduced water retention in the skin leads to wrinkles and sagging, you can achieve younger looking skin by injecting hyaluronic acid at the same time as removing fat with bacar fat.

(4) Bacarfat combined with Botox injections

Botox injections given into the gills can help with gill tension.

In addition to being caused by the skeletal structure of the mandible, gills can also be caused by the development of masseter muscles that work when chewing food.

In such cases, Botox can be injected into the masseter muscle to create a sharp contour.

This is because the Botox drug works by blocking the movement of acetylcholine, a substance produced when muscles contract, thereby preventing excessive muscle movement.

When performed in conjunction with bacal fat removal, the gills are less noticeable and a cleaner facial line can be created.


From the standpoint of preventing sagging, bacarfat removal should be performed while the patient is in his/her 20s or 30s.

This is not to say that it will not be effective after that, but it may not be as effective as you would like.

For satisfactory results, it is recommended to combine other procedures such as thread lifts.

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