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Of course if things sag, now you're looking at lifting-type procedures.' Dr Steven Cohen, who works as a cosmetic surgeon in San Diego, California, told DailyMail.com: 'Probably 25 percent of our patients come in with significant gauntness, where they lose a lot of deep fat, they get hollowing in their temples, they look instead of like having mumps.' 'They look like the reverse [of] when you suck your cheeks together, that's what happens when you start to lose some of the components of the deep fat.' He went on to explain that 'what's happening is buccal fat loss.' Buccal fat is padding in the inner lining of a person's cheeks