I kind of understand why buccal fat removal is controversial, as lots of women(especially in Hollywood) are doing this unnecessarily, but for some round face is making them uglier. And no, u don't have to be fat to have a lot of face fat.
I am a woman in my 20's, but often hear I look 14/15. No, it's not nice. It's making me really insecure. I often hear I have to check my thyroid, but it always comes within a normal range(although I will go to the doctor to check other hormones), but honestly it's most propably just how my face looks- some of us are just storing more fat in their face naturally. My other features also make my face shorter and outside of buccal fat, I am planning to do genioplasty. Also, it really narrows my hair possibilities- I really want to just freely go out with a ponytail once in awhile.
In media we often see how wider and fatter faces are made to represent ugliness, alongside with other stereotypical features. So, why everywhere I look I am gaslighted that "it's youthful","cute" and "will age well". I know pretty privilege is still important at older age, but probably nowhere near as important as in teen years or 20's- in my 50's I won't look like Jennifer Aniston regardless if I do or don't go with buccal fat removal.
I don't want to look "cute" and "childlike", I want to look like a normal woman. I will get this fucking buccal fat removal once I will have enough savings. Of course there is a lot of butches examples, but also huge amount of people that looks MUCH better after- u just need to look at surgeon sites or even subreddit for plastic surgery on reddit.