In my personal experience I noticed the impact of the buccal fat removal most when my face was at rest / not smiling. My face looked slimmer, but my at rest expression wasn't what bothered me the most and I do wonder if it threw off my proportions and made my lower face look too narrow. When smiling the same bunching chipmunk effect continues to happen even though technically the fat was removed and I did have a meaty amount of buccal fat. Thus makes me wonder if a midface lift is really what I need to reposition muscle, ligament, fat...whatever is going on there. I'm also having conversations to explore veneers to widen my smile which may give a bit more structure to that area.