Buccal fat pad (BFP) is a biconvex adipose structure limited by a thin capsule between the facial muscles. When the BFP extension is excessive, it gives the appearance of a rounded face. Therefore, buccal fat pad removal is presented as a technique to sculpt the facial angles and enhance aesthetics. This chapter elaborates on the step-by-step descriptions of the buccal fat pad removal procedure under local anesthesia, covering diagnosis, surgical mapping, the procedure itself, post-surgery considerations, and complications, which make this a complete and well chapter.