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Posted underBuccal Fat Removal q&a

How risky is it to get fat injected directly back to buccal space due to inner mucus and bacteria?

Linda4343Aug 28, 2022
I got buccal fat removal and I regret it. I have been exploring the option with surgeons to get fat injected back to buccal space versus a superficial fat graft. Does the likelihood of developing problematic necrosis increase when you inject back to buccal space (though the inner corner of mouth) versus a superficial fat graft? My understanding is that you are breaking through inner mucus which bacteria can infiltrate. How can I reduce my chances of getting necrosis that can cause deformity?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Sep 1, 2022
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Jonathan Kulbersh, MD

Thank you for submitting your question and photos. You may benefit from a buccal fat pad removal in the cheek region to balance the proportions of the face. Removal of this fat pad can reduce fullness in the face to create a more defined contour in the cheekbone area and along the jawline....

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Caner Kacmaz, MD

Bichectomy is a procedure where excess cheek volume is removed. Therefore, facial roundness reduces, and cheekbones become more prominent. Buccal fat removal is a permanent solution and once the fat is removed it will not come back. Best wishes.

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Mansher Singh, MD, FACS

You might consider fat transfer to your cheeks and tear trough to volumize the mid face. You can hold off on buccal fat reduction for now.

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