Buccal fat removal?

Neolithic Zagrosian

Neolithic Zagrosian

Natura nihil frustra facit
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Is this sort of leanmaxxing transformation possible without buccal fat removal when someone is as boneless as this guy?
Ce3cad22635ca6ffda7372eb430e6459 1
 
hes not boneless, plus buccal fat removal is one of the worst surgeries long term you can get
 
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