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Notes -
All good points. Why not give it a go then? If its low risk (you've done a credential check) and affordable you can give it a trial and see if you like the results.
I probably will. It's certainly much cheaper in India versus what it would be in the UK. The buccal fat removal is permanent (without fillers or transplants to reverse it), but I can always forego the botox in the future.
Of course you might end up looking weird. I'm guessing these places have pics of their previous work? A former colleague had a vanity-driven surgery to suck fat out of his baggy (in his mind) eyelids. But because he has serious sleep issues and his genius response to this was just to begin taking Ambien, he looks now like a guy with two black eyes about a week into healing. This is post-surgery.
Don't mind me, though, I'm generally adamantly against cosmetic surgery to begin with.
He's just about as credentialed as one can desire for a plastic surgeon, I believe he trained at Harvard. He also showed me several cases with before and after photos, and I was impressed by the results. Of course, they don't show off the botch jobs..
Cosmetic procedures vary in their risk, buccal fat removal is safe as it goes, with a pooled risk of complications of around 1-3%. That covers both minor and major issues. I'm not as up to speed on the reimplantation of the fat or the botox, but from first principles, they're probably not any worse. All the incisions are inside the mouth, which means no visible scars. Not much bleeding, so the risk of haematomas or infection are rather minor. That's ignoring the risk of failure or non-ideal results. Buccal fat naturally goes away with age, so if overdone, can leave you with sagging cheeks or jowls. I can consider that a problem for another few decades down the line, it can be fixed.
At the end of the day, it's up to one's personal risk appetite and how content they are with their appearance.
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