A 16-year old female patient came at the university clinic, reporting bilateral swelling of the cheeks, especially on the right side. The patient had noticed that the swelling had started two years ago with no signs of pain, slowly growing and causing asymmetry of the face. The general medical history of the patient does not contain any condition. Clinical examination revealed a bilateral, soft, mobile and painless mass into the soft tissue. The mass on the right side was much larger, thus causing asymmetry. Imaging with MRI scan showed two round-shaped, finely encapsulated masses of adipose tissue connected to the buccal fat pad. These MRI findings, in combination with the clinical examination, match the description of the buccal fat pad lipoma. Surgery was conducted with the intraoral approach under general anesthesia, first on the right and subsequently on the left side, following the same procedure. A relatively transverse incision was performed with a no. 15 blade through the buccal mucosa, extending from the external oblique ridge halfway up the mandibular ramus posteriorly, to approximately 5mm under the papilla of the parotid duct anteriorly, in order to recognize and protect the Stensen’s duct. A secondary incision to the buccinator muscle granted access to the lipoma. The masseter muscle, the surrounding vessels and the parotid duct were identified and protected as well. The lipoma was carefully detached from the surrounding tissues and was removed, including the well-attached larger front part of the buccal fat pad. Thorough hemostasis and rinse with saline followed this procedure. The incision was carefully sutured and a drainage was placed. The same surgical technique was repeated on the left side for the removal of the smaller lipoma. The patient was hospitalized and monitored for two days and then discharged in good general condition. Post-surgery instructions were given. Post-traumatic swelling and edema entirely disappeared two weeks after surgery. Histological examination of the removed masses confirmed the typical image of common lipoma.