Is it possible not to have buccal fat pads, or it's a failed attempt? (Photo)

Question

I am healthy female in 50th. I just went to get a buccal pad removal surgery today. After all the markings and the anaesthetics, and cut, (during which Dr. did burn my lip), some digging an pulling started, and after some time I was told that I do not have much, nothing to remove, he told that he took agrain size of fat. And as it was my "fuller" side, we would not proceed with the other side. Cut is in the middle of the cheek, closer to the back. It is possible I have no buckle fat?

Michael P. Morrissette, DDS, FACS · Answer

It appears to me from your photos that you have prominent buccal fat pads. Each person is born with buccal fat pads. In the beginning, it takes time to understand the anatomy and location of the buccal fat pads. I would get another opinion form a surgeon that is very experienced with this procedure.

Jeffrey H. Spiegel, MD · Answer

It is likely the fat was just "hiding" that day.  In 25 years I've seen only one person where I couldn't find the fat the first time (and had to return) on one side.
It is likely that it can be removed still.
We do this in the office with local anesthesia.

Jacob Tower, MD · Answer

Hello, hope you are well. Generally speaking, everyone has buccal fat. Like anything else, the quantity and anatomy of the fat compartment varies somewhat from person to person, but it's there. Even for someone with a relatively smaller fat compartment, the quantity would be measured in cubic centimeters ('cc') and not on a granular scale. Having said that, the procedure has its challenges and sometimes a second attempt is necessary. 
Best,Dr. Tower

Darryl J. Blinski, MD · Answer

Based on the series of posted photos I see buccal fat pads. But in my practice if I am having difficult time in locating the buccal fact compartment i use in surgery ultrasound to assist. Seems you were not given this option. Only doing this revision under ultrasound guided location can achieve desired removal. Fee $8,000. Best to virtual consult with...

Is it possible not to have buccal fat pads, or it's a failed attempt? (Photo)

Answers (4)

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