[PDF] The Excision of the Buccal Fat Pad for Cheek Refinement: Volumetric Considerations. | Semantic Scholar (2024)

A properly executed BFP excision can achieve distinct facial slimming for the capacious face and can also contribute to improving lower face sagging due to BFP ptosis in middle-aged patients.

BFP removal has an initially favorable outcome for facial aesthetics and a low postoperative complication rate, however, there are many procedures being performed with poor quality methodology and there is also a lack of published data on its long-term follow-up results.

The sub-SMAS transposition of the buccal fat pad is an effective technique that can be safely used for autologous inframalar augmentation in patients with a favorable facial morphology.

Although high values of cheek skin-fold thickness, midfacial contour, and ultrasonographic BFP volume, as well as an ovoid/triangular facial form, might be robust indicators for the suitability for BFP excision, the surgical decision-making should not be based on isolated parameters.

It is concluded that the BFP removal, when performed following a precise indication, properly and with the recommendations of post-operative care, followed correctly, promotes limitation in mouth opening and painful symptoms by 15 days.

This study demonstrates the use of 3D photography to objectively and quantitatively assess volume change following BFPS and that the volume removed is significant enough to demonstrate favorable results using 3D imaging.

The BFAT flap, which exhibited substantial volume and reach in this study, can be harvested through multiple dissection windows or pre-existing defects and be used to reconstruct a variety of midface defects.

The reported cases were 2 patients aged 31 and 38 years who were attended by the oral and maxillofacial surgery teams after a complication in the BFP surgery and involved swelling due to Stensen's duct injury, and the second involved uncontrolled bleeding from the internal maxillary artery.

Partial excision of the buccal fat pad is a surgery indicated for different functional and aesthetic procedures and the ultrasound examination can provide security in performing the surgery, in addition to predicting preoperative anatomical variations and assisting in the treatment of postoperative complications.

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To preserve the subcutaneous fat commonly lost with aging and to avoid late secondary deformities, only submuscular buccal fat excision is recommended in a carefully selected group of patients.

Using fresh cadaver dissection, the anatomy of the buccal fat pad is delineated and its relationship to the masticatory space, facial nerve, and parotid duct is defined and an intraoral approach for buCCal fat harvesting is described.

It appeared from this study that the buccal fat pad can be affected by clinical conditions and this fact should be kept in mind when planning its surgical use.

Evaluating the volumetric variations of the buccal fat pad with a CT and MRI, as well as the thickness, weight and volume with conventional methods, helps determine whether the correct volume has been removed from each side in aesthetic, oral, or maxillofacial procedures.

The embryology and anatomy of the buccal fat and its association with clinical condition and clinical procedures are described.

The author has developed a direct approach to the mobile anterior SMAS which allows correction of midface descent, modest elevation of the modiolus, jawline correction, and, where indicated, direct access for buccal fat pad resection.

The facial nerve branches are vulnerable during manipulation of the buccal fat pad and there is a 26.3% chance of injury to the buCCal branch during total removal of buccAL fat pad.

Subplatysmal necklift is a safe, effective, and reliable option for patients who desire improved cervical contour according to the safety, effectiveness, and predictability of necklift combined with reshaping and repositioning of the subplatymal structures.

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