The difference between buccal fat removal and other plastic surgeries is the majority of other plastic surgeries are stuff that other humans could possibly be born with. So for example, other people are born with thin noses, or high cheekbones, or big boobs, or a jawline. These are all things you'd see on other people naturally, stuff like no wrinkles, is naturally seen on other people.
Nobody is naturally born with no cheek fat, everyone has the fat in their cheeks, thats what makes them cheeks. Its a part of humanity. Removing them is like removing your eyebrows or something or reshaping your ears to be square, its just not natural, people aren't born like that. So thats why buccal fat removal is so weird.
Yet all these celebrities women have been tricked into thinking it'd give them a nice, thin face because its fat and of course all fat = bad, right? Thats the narrative. You're just removing fat from your face! They fell for the trick, forked over the moeny now they look like aliens.