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Good Morning and welcome! I am Dr. Loretta, a licensed veterinarian and I am happy to answer your question.
If the fat cheeks are symmetrical and there has not been any response to the treatment that your vet has give, the next step is to perform a thorough oral exam which can only be done under anesthesia. I am sure that your vet did check inside Marvin's mouth and did not see anything odd or they would have done more. It seems that Marvin is acting normally and eating well, so this is unlikely an infection or allergic reaction since the medications have covered all of these possibilities. Prior to a recheck by your vet, it may help to apply hot cold compresses to these areas to help decrease the swelling. Do this every 4-6 hrs for 5 minutes and if there is no response, then either this is now Marvin's normal or he has a mass or something causing this swelling..Does that make sense to you?
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