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?
Why Are Doctors Against Buccal Fat Pad Removal?
Doctor Answers 13
Buccal fat pad reduction
I have many happy patients with this procedure. Careful selection and counseling are key. Results evolve nicely over a period of weeks to months. Please talk to an board certified surgeon experienced in buccal fat reduction to see if you are a candidate.
Cheek (Buccal) Fat Pad Removal - Cautionary Tale
As we age we lose fat and volume from our faces and our face sags resulting in the familiar deflated, sagging facial aging familiar to all. Fat loss is particularly seen in the Cheek Fat Pad (of Bichat) which results in accentuation of the cheek, temple and side of the eye socket bones and a sick, malnourished appearance (compounded further by illness).
While there is room for performing a Bichat fat pad removal in extreme, "moon face" round faces, we do so knowing that these patients may also have accentuated bony faces later in life. In milder cases of accenuated facial fat pad presence the likelihood of a long-term substandard result is so great that we generally avoid doing this operation in most patients.
Buccal Fat Removal
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Buccal fat pad removal
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.
Problems with buccal fat removal
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.
Must be conservative with buccal fat pad removal
Buccal Fat Pad
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.
- 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
- 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:
- Patients can see the buccal fat removed-
- Quicker recovery than general anesthesia
- Able to tolerate foods earlier with less intraoral swelling
Buccal Fat Pad Removal a good choice for many
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.
Buccal Fat Pad Removal: 40 % Approval rating
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.
Buccal fat extraction
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.
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.