Many people who undergo buccal fat removal report regret related to long-term facial changes as they age. While the procedure initially creates a slimmer, contoured look, some notice their faces become too hollow or gaunt over time, making them appear older or different than expected. Others feel their features lose softness or balance, which can be surprising once natural aging or weight changes occur. Common advice from patients emphasizes careful consideration of long-term effects, realistic expectations, and the emotional impact of altering facial structure permanently. They often suggest consulting multiple surgeons, reviewing before-and-after aging simulations, and thinking about how the face may change naturally before deciding on the procedure.