Revision for Asymmetry After Buccal Fat Removal?

Question

I had buccal fat removal a year ago. Unfortunately, my cheeks are now asymmetrical. One side is thinner than the other. Will subsequent aging even it out or do you recommend I do a revision to excise out the buccal fat pads on the fatter cheek?

Vincent N. Zubowicz, MD · Answer

A revision for buccal fat removal is fairlly easy.  It can be performed under local anesthesia through the mouth.  It takes 15 to 30 minutes.  You don't need to wait for old age to even things out.

John Mesa, MD · Answer

Asymmetry post buccal fat removal could potentially be corrected with re-do / revision buccal fat removal IF and ONLY IF the cause of the asymmetry is the buccal fat pads. IF the cause of the asymmetry is other than the buccal fat pads, then other plastic surgery procedures might need to be done to correct the asymmetry.

Ali Sajjadian, MD, FACS · Answer

Hi Chickabiddy,

	 

	A period of one year post-surgery without complications should be enough to shape your end results and the asymmetry will not be corrected through the natural course (aging).

	The causes of the asymmetry are hard to determine without a photograph and a consultation.

	Nonetheless, facial revisions are of a delicate nature. Therefore, an extensively experienced surgeon is the best choice especially that the revision is to be performed conservatively and with the optimal accuracy.

	 

	Thank you for your question.

	Best of luck to you.

	Dr. Sajjadian

Brent Moelleken, MD · Answer

Removal of the buccal fat pad is an excellent procedure in the right patient.  It reduces excessive fullness on the lower face.  Its effect on patients with "chipmunk cheeks" can be profound.  It can enhance the cheeks without placing any implants in the right patient, unmasking hidden beauty.
There are many reasons for asymmetry.  It can be natural in the patient's face, or it can be a result of surgery.  Your best bet is to obtain a second consultation, complete with the operative note of your first procedure, from a surgeon with considerable experience with revisional facial surgery.

Otto Joseph Placik, MD · Answer

I am a little confused. Did you have only one buccal fat removed? If so, then, yes I would consider returning to have the other buccal fat pad removed.

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