Understanding Buccal Fat Removal
Buccal fat removal, also known as buccal lipectomy or bichectomy, is a cosmetic procedure that targets specific fat deposits in the cheeks to enhance facial definition.
Buccal fat pads are naturally occurring encapsulated fat masses located deep within the cheeks, nestled between the cheekbones and jawbones. Everyone possesses these fat pads, though their size and shape vary. The surgery’s objective is to reduce their volume, creating a more contoured lower face and emphasizing underlying bone structure.
Reasons for Considering the Procedure
Many seek buccal fat removal to address persistent facial fullness, even at a healthy weight, especially if they perceive their face as “chubby” or “round.” Reducing these fat pads can lead to a more defined lower face and enhanced cheekbone visibility.
The procedure aims for a slimmer, more chiseled appearance, balancing facial proportions. By reducing lower cheek fullness, it creates a harmonious facial transition, contributing to a refined, often V-shaped or angular profile.
The Surgical Experience
Buccal fat removal is an outpatient procedure, allowing patients to return home the same day. The surgery typically takes 30 minutes to an hour. Anesthesia options include local, where the patient remains awake, or general, if combined with other procedures.
The surgeon makes a small incision inside the mouth, near the molars. This intraoral approach ensures no visible external scars. Gentle external pressure on the cheek exposes the buccal fat pads, and a precise portion of the fat is removed.
After fat removal, incisions are closed with dissolvable sutures. The process is repeated on the other cheek to ensure symmetry. Patients are observed for stability before release.
Post-Operative Expectations and Outcomes
Following buccal fat removal, patients can expect swelling, mild discomfort, and minor bruising. Pain medication manages discomfort, and cold compresses reduce swelling. For the first few days, a soft food diet is recommended to avoid irritating incision sites.
Significant swelling subsides within the first week, and noticeable changes emerge. Initial improvements are visible, but residual swelling may take a month or longer to fully dissipate. Final results, showcasing a more defined lower face and enhanced cheekbone contour, become apparent within two to six months. Removed buccal fat cells do not grow back, providing permanent results. However, future facial changes due to aging or significant weight fluctuations can affect overall facial contours.