Hello. So I would like to know if only a small amount was taken out from the bichat fat pad and not a great amount that would make a difference for the patient. Can later on the patient request a revision and have more cc of bichat fat pad taken out? (If not all of it was taken out and also not a good amount was taken out). Is it possible? Like for example, in a breast lift if the patient isn’t happy with the final result they can get a retouch surgery without pain the surgery price again.
March 22, 2020
Answer: Can a second buccal fat removal be performed if the patient isn’t happy with the results? Yes, but.... Technically it is possible to get a second buccal fat removal if a patient isn't happy with the results, but the desired improvement cannot be guaranteed. The reasons are multiple and they are:Maybe there aren't residual buccal fat pads left Maybe there is be excessive post-surgical scarring that doesn't allow to redo the surgery in a safe mannerIf the BMI is elevated (weight for height), no matter how much buccal fat pad is removed, the results will be masked by the excessive body weight. The cost of undergoing a second buccal fat removal or "retouch surgery" depends on the policies of the practice of the surgeon. Some surgeons charge an specific amount for any surgical retouch, others waive the surgeons fee but charges the operating room and anesthesia cost. If the redo is performed by a different surgeon ( who didn't do the initial surgery) it is obvious that he/she will charge the full amount regularly charged for the procedure.
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March 22, 2020
Answer: Can a second buccal fat removal be performed if the patient isn’t happy with the results? Yes, but.... Technically it is possible to get a second buccal fat removal if a patient isn't happy with the results, but the desired improvement cannot be guaranteed. The reasons are multiple and they are:Maybe there aren't residual buccal fat pads left Maybe there is be excessive post-surgical scarring that doesn't allow to redo the surgery in a safe mannerIf the BMI is elevated (weight for height), no matter how much buccal fat pad is removed, the results will be masked by the excessive body weight. The cost of undergoing a second buccal fat removal or "retouch surgery" depends on the policies of the practice of the surgeon. Some surgeons charge an specific amount for any surgical retouch, others waive the surgeons fee but charges the operating room and anesthesia cost. If the redo is performed by a different surgeon ( who didn't do the initial surgery) it is obvious that he/she will charge the full amount regularly charged for the procedure.
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March 22, 2020
Answer: Secondary Buccal Lipectomy If would be very uncommon for most surgeons doing a buccal lipectomy to leave much behind. I have re-explored numerous prior buccal lipectomy sites in which the patient wanted more or thought that not enough was initially removed....only to find a negligible or no amount of further fat to remove. While a secondary buccal lipectomy would be very straight forward to do the odds are that not much is left to remove. It is also very possible that where you think the buccal fat pads extend to or the effect you think their removal would create is somewhat different than where the buccal fat pad is located. As a general rule if you draw a line from the mouth corner to the attachment of the earlobe to the face, a buccal lipectomy only reduces the fullness of the cheeks that lies above that line. What lies below it is not the buccal fat pad but the perioral mounds which is a different layer of fat in the cheeks.
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March 22, 2020
Answer: Secondary Buccal Lipectomy If would be very uncommon for most surgeons doing a buccal lipectomy to leave much behind. I have re-explored numerous prior buccal lipectomy sites in which the patient wanted more or thought that not enough was initially removed....only to find a negligible or no amount of further fat to remove. While a secondary buccal lipectomy would be very straight forward to do the odds are that not much is left to remove. It is also very possible that where you think the buccal fat pads extend to or the effect you think their removal would create is somewhat different than where the buccal fat pad is located. As a general rule if you draw a line from the mouth corner to the attachment of the earlobe to the face, a buccal lipectomy only reduces the fullness of the cheeks that lies above that line. What lies below it is not the buccal fat pad but the perioral mounds which is a different layer of fat in the cheeks.
Helpful 1 person found this helpful