Since my kidneys are not in good condition, I did not need anesthesia while sleeping because it would be too hard on my kidneys, and I had deep cheek fat removed yesterday using only local anesthesia. It didn't hurt and I am satisfied. The doctor's technique seems to be good, and he said the needle stings. It didn't hurt at all, and the surgery was quick and it seemed to be the best. A month later, I took a picture of the swelling in my cheeks. I'll post a picture too. I like La Vien Plastic Surgery. It seems like tartar removal and scaling are more painful. Compared to that, deep cheek fat removal with only local anesthesia doesn't hurt at all and is a good thing.