Can you get buccal fat removal with braces on?

Question

Hey so I’m planning on seeing a doctor in Mexico later this year to get buccal fat removal & chin Lipo but want to know if I should wait until I have my braces off to do so?

Omar Lazos, MD · Answer

Yes you can, having braces is not a problem at all. The bichectomy or buccal fat pad removal is a minimal 
invasive procedure that usually takes place in a doctor’s office 
(doesn´t take longer than 20 minutes). Removing this fat pad 
strategically gives a sharper, chiseled and more symmetric appearance. 
Good candidates are patients that despite losing weight or are in their 
normal weigh, the volume in their cheeks area is still prominent. 
Combining this with chin lipo has a very powerful result. This will 
improve your jawline making it look more masculine and chiseled. The 
procedure is highly bearable with local anesthesia which is injected 
inside the mouth at the level of the second upper molar. At this site a 
small puncture incision is made and it’s carefully dissected so that no 
neighboring structures (nerves or vessels) are damaged until the pad is 
found. Once the pad is found it is pulled to the oral cavity to remove 
it under direct vision, thus not harming any other structures. The 
incision heals by itself and closes by the 4-5 day, and no sutures are 
needed. Factors that influence results are: amount of buccal fat pad 
removed (average amount is 3 cc, the size of a chestnut), healing 
process, wound retraction, overall tissue (amount of facial muscle and 
skin). The results start to show after the swelling begins to fade away,
 usually at 1-month post op and the end results at 3 months postop. 
Search for a certified plastic surgeon to do this procedure that may 
seem not difficult but carries risks for complications. The most common 
complication although rare is hematoma that is related to efforts in the
 immediate 3 days postop. Hematoma is a self-limiting complication that 
besides the size of the swelling it always resolves (takes 1 week to get
 better). Other complications are: infection, facial nerve damage and 
salivary gland duct or Stenon duct.

Roger Tsai, MD · Answer

Great question!  Yes you should be able to have these procedures even with braces on.  Just make sure you have good mouth hygiene after surgery and brush / rinse frequently.Best of luck- Dr. Roger Tsai  @DrRogerTsaiBoard Certified Plastic Surgeon

John Mesa, MD · Answer

Yes, Buccal Fat Removal can be done in any patients with braces on. Braces do not interfere with the performance of a buccal fat removal. Buccal fat removal does not affect the braces.
In the video below you can see how I perform buccal fat removal in a patients with braces in both upper and lower teeth, completely awake under local anesthesia without any sedation.

Kenneth Hughes, MD · Answer

Thank you for submitting your cocnern.Based on the information you provided you have nothing to worry about. Buccal fat removal should not interfere with your current braces. If you have any further reservations I suggest you contact you orthodontist. Best of luck.

Aditya Sood, MD, MBA, FACS · Answer

Great question! It is totally safe and reasonable to have the procedure with your braces on, it will not get in the way of the surgical approach or field. Best of luck!

Can you get buccal fat removal with braces on?

Answers (5)

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