Why Are Doctors Against Buccal Fat Pad Removal?

I have such fat round cheeks. All my life I have been made fun of. I had Vaser LIpo on my cheeks and I still feel i need buccal fat removal. I look like a bulldog. I have a very round face. Isn't buccal fat removal ok for some people? i feel i am one of them. i want a slim face. is that so bad?

Doctor Answers (11)

Buccal Fat Pad

+2

Buccal fat pad, like any other surgical procedure, must be the right procedure for you.  The challenge is determining if you are going to be a good candidate.

  1. Family history of "full" faces-  Families with full faces who age with full faces are likely to benefit from buccal fat removal.  Families whose fuller faces eventually turn gaunt should avoid this procedure
  2. Buccal fat excess-  There are multiple fat pads in the face.  The key is to determine if buccal fat pad removal is beneficial

The technical challenges of buccal fat pad removal are to be non disruptive to the surrounding structures.  I prefer to remove the buccal fat pad in the office under local anesthesia with a minimal intraoral incision for the following reasons:

  1. Patients can see the buccal fat removed-  
  2. Quicker recovery than general anesthesia
  3. Able to tolerate foods earlier with less intraoral swelling


Chicago Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Buccal fat pad removal

+2

Some people are candidates for this procedure.  It should be done only in carefully selected patients to avoid creasting facial deformities.  Perhaps, what you are really hearing is that you are not a candidate, and perhaps you should hear that.

Scott E. Kasden, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 46 reviews

Buccal fat removal.

+2

I agree totally with what Dr. Rand said. Patients are almost always unhappy with the poor results achieved.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

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Problems with buccal fat removal

+2

There are 2 problems with buccal fat removal and they are that the short term results are not very dramatic and the long term loss of facial fat and volume can leave you gaunt looking if you had buccal fat removal when you were younger.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 48 reviews

Buccal Fat Removal

+1
Buccal fat removal, in the right candidate, can really slim down the face.  It needs to be performed judiciously though to avoid taking out too much and giving a gaunt appearance, which is usually not flattering.  Please consult with a board certified specialist in the face who can assist you with achieving the results you seek.  3-dimensional computer imaging can also help you visualize what you may look like afterwards and serve as a useful communication tool with your surgeon. 

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Questionalble results

+1

Buccal fat pad reduction is a procedure that is not commonly performed but can make sense in the right patient.  It is important to understand the anatomy before undergoing the surgery so that you are well informed.  Normal aging reduces the buccal fat pad volume.  It is true that some people have more volume in their cheeks than others.  However, it is also universally true that that volume will decrease and descend over time.  Removing too much buccal fat can cause premature aging.  It is also important to remember that replacing fat that has been removed is extraordinarily difficult if not impossible.  The main reason is the location of the buccal fat pad.  It usually resides underneath a large muscle that is responsible for majority of the power motions of your chewing.  Once that fat is removed that space collapses.  Once collapsed it is very difficult to find the exact space and to reinsert a substance such as a filler or better yet fat.  One potential solution is to use something like Sculptra.  While I generally do not advocate buccal fat pad removal, I understand why somewhat would want procedures such as this.  I tried to choose my patients very carefully and I also tried to be conservative in the amount of fat that is removed.  Surgeons who trivialized this procedure simply don’t understand how difficult it is to correct deformities that may occur.  The cost of the procedure can run anywhere from $3000-$7000, depending upon your geographic locale.  Please visit with an experienced board certified plastic surgeon.  My best advice is to always be conservative with any buccal fat pad reduction.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.0 out of 5 stars 15 reviews

Buccal Fat Pad Removal a good choice for many

+1

Hello Sharpie,

 

Buccal fat pad removal is not a bad choice for the right candidate. When approached conservatively by a surgeon of ample experience, commendable results will be attained.

 

Because of the natural atrophy of the buccal fat pads due to aging, this procedure is of a delicate nature but could provide the ideal midface contour.

 

I encourage you to seek a consultation with an extensively experienced surgeon who will guide you to make an informed decision. Unfortunately, without a photograph it is hard to give specifics about your case.

 

Thank you for the inquiry.

Best of Wishes.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 120 reviews

Buccal Fat Pad Removal: 40 % Approval rating

+1

Buccal fat pad removal leads to a skeletonized appearance of the face over the long term,  counter to the fuller, more volumetric faces that most people consider aesthetically pleasing.  Buccal fat pad removal has become a seldom used technique for good reason.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 34 reviews

Buccal fat extraction

+1

This is not  a well know procedure and not all sugeons offer this treatment.  The procedure is generally performed by facial plastic surgoens, oral surgeons and plastic surgeons. The results of the procedure are not completely predictable. It must be performed on suitable candidates or it can produce irreversable hollowing of the cheeks.  When this procedure is carried out on the right patient it can produce signficant improvement in facial contour.  One must be evaluated to assess if they are a suitable candidate.  Other procedures that can enhance facial contour include chin implantation, botox to masseter muscle, and jaw angle surgery.

Philip Solomon, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 29 reviews

Buccal fat removal

+1
Buccal fat removal can be a very good procedure in the right patient. The problem is that as you age this fullness of your cheeks may go down. Therefore, this procedure should only be performed in those people with true protrusion.

Sandy Sule, MD
Dallas Facial Plastic Surgeon
4.5 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.