Buccal fat pad resection is a trending procedure the has obtained increasing popularity nationwide and also in my very own practice. I see a recurring pattern where patients ask for the procedure based on their cosmetic goals, are fast to book the procedure due to the fact that it is fairly affordable and low risk (in experienced hands) and also confers a feeling of immediate gratification. However, that is not uncommon for patient to acquire advice from various other plastic surgeons, stylists, aestheticians, and nurses, the warn patients versus the cosmetic dangers of this operation.
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The most typical concern my patients have is the they will certainly be over-resected and obtain a deflated midface that may add to premature birth aging. Various other patients have involves that castle will have bags the sag wherein the buccal fat pad provided to live. Finally, some patients wonder if this can be reversed in time. I regularly tell patient’s that the operation is desirable because it is subtle in its an extremely nature. Many patients perform not check out drastic outcomes as just 3-4 cc the this 6mm thick buccal fat pad space actually resected. I tell patient quite frequently that ns will remove as lot buccal fat pad is i can. What this actually means is ns remove all of the buccal fat pad that is easily yielded with gentle palpation with my finger.
Many studies have shown that the buccal fat pad is everywhere from 8-10 cc in volume, but upon removal of the many easily available portion, 7-8 cc remains. In other words, we are taking 40 come 50% the the whole volume when we remove all the is quickly deliverable. 3-4 cc has crucial but subtle innovation for the midface. This will allow convexities or chipmunk cheeks to become flat or also concave and also to really display off the cheekbones wherein they may have actually been previously obscured through midfacial fullness.
It is important to identify and properly law volume that occurs in the posterolateral portion of the confront over your masseter muscle and the edge of your jaw native the anterior medial fullness of the buccal fat pad and also jowls. Young patients with thick, healthy and balanced skin and strong cheekbones are appropriate candidates. However, buccal fat pad removal is vital adjunct to mine facelift as well. In older patients, ns do need to be an ext careful and also conservative through the fat that i resect, and also in this patients, I just resect the fat that is not easily removable but that herniates on height of the currently tissues.
During her consultation all be honest with you regarding whether not I believe you space a good candidate for the procedure. If you space a good candidate, and I phone call you i am walking to remove as lot of the buccal fat pad together I can, this quiet only quantities of 40 come 50%. Since the buccal fat pad might have important functions in gliding v the muscles of chewing and also speech, it may not be prudent to remove at 100% of the buccal fat pad in any case. Through removing just the cosmetically far-ranging portion, this can aid preserve the structure of the fat in the remainder of your face, and also many of the cushioning and gliding functions of the buccal fat pad.
In my practice my patients are nearly universally happy with my approach and also the conservative an outcome they see.
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This procedure deserve to be performed, oftentimes, within 30 minutes in the lull of ours office. While many patients choose to execute this under dental sedation, this can be perform without as well.