Buccal fat removal is a cosmetic procedure designed to reduce fullness in the lower cheeks, creating a more contoured facial appearance. The surgery involves removing a portion of the buccal fat pad through a small incision made inside the mouth. Because the incisions are located internally, following specific dietary instructions during recovery is paramount. This prevents irritation, minimizes swelling, and avoids complications like infection or disruption of the dissolvable sutures.
The Initial Liquid Diet Phase
Immediately following the procedure, typically for the first two to four days, patients must adhere strictly to a liquid-only diet. This temporary restriction protects the freshly sutured incision sites from mechanical stress caused by chewing or abrasion. Acceptable liquids include nutritional protein shakes, smooth fruit or vegetable juices without pulp, and clear broths, which provide necessary calories and fluids for initial healing.
Temperature control is a necessary consideration; beverages should be consumed at a lukewarm or cool temperature, as heat can increase swelling or cause discomfort at the surgical site. While hydration is essential for reducing swelling and promoting tissue repair, it is crucial to sip liquids slowly and avoid using a straw. The suction created by drawing liquid through a straw can dislodge the blood clot forming over the incision, potentially leading to bleeding or a painful condition similar to dry socket.
Transitioning to Soft and Pureed Foods
The transition away from a liquid diet typically begins around day three to five, starting the soft and pureed foods phase, which lasts for approximately one to two weeks. This stage requires foods that are easily swallowed without significant chewing effort, minimizing movement of the cheek muscles and protecting the internal sutures. Prioritizing nutrient-dense options is important, particularly protein-rich foods like scrambled eggs, smooth cottage cheese, yogurt, and soft fish such as baked salmon, which support tissue regeneration.
Carbohydrates and vegetables should be prepared to a smooth consistency, such as creamy mashed potatoes, well-cooked pasta, or pureed vegetables like pumpkin or carrots. Fruits like mashed bananas or applesauce are also excellent options, providing vitamins and fiber without irritating the mouth. When eating, patients should take small bites and chew gently, primarily using the back teeth, to reduce strain on the recovering cheek area.
Foods to Avoid and Maintaining Oral Hygiene
A successful recovery depends on avoiding specific foods and beverages that can irritate or damage the healing tissues. Hard, crunchy, or sharp-edged foods like chips, popcorn, nuts, and crusty bread pose a direct threat by scratching the incision site or pulling on the sutures. Similarly, sticky or chewy items such as gum, caramels, and tough meats must be avoided because they can tug at the internal stitches and disrupt healing.
Certain chemical irritants also delay healing. Highly acidic foods like citrus fruits and tomato-based sauces, along with spicy dishes, can cause a burning sensation and increase inflammation at the surgical site. Alcohol should also be avoided for at least two weeks, as it can interfere with prescribed pain medications and dehydrate the body, slowing recovery. Furthermore, foods with small, fine granules, like rice, quinoa, or seeds, can become trapped in the incision and create a risk of infection.
Maintaining meticulous oral hygiene is equally important to prevent bacterial buildup without disturbing the incision sites. Patients are often prescribed an antibacterial mouth rinse, which should be used gently and without vigorous swishing or gargling. Toothbrushing should be performed carefully with a soft-bristled brush, focusing on all areas except the immediate surgical site for the first few days. Ensure absolutely no forceful spitting or swishing occurs, which could create suction and compromise the healing area.