Buccal Fat Removal
When we are young, ample, round cheeks are perceived as a marker of good health and many consider the rounded face to be a desirable feature. With age, some may prefer a less rounded face. This is where buccal fat removal or cheek fat removal may be able to help address your concerns. Buccal fat extraction, buccal fat excision, buccal fat removal involves carefully removing defined amounts of fat tissue from the buccal fat pads in the cheeks. The fat tissue is responsible for the rounded appearance of the cheeks. For some people, this results in prominent cheeks that may be out of balance with the rest of their facial features. If excessively rounded cheeks troubles you, with an associated loss of self-esteem, buccal fat removal may be a solution to help balance your facial features, and restore your confidence.
Buccal fat removal is a procedure that extracts the fat pads that often unwantedly augment the lower cheeks. Whilst, having fullness in the face can make you look younger, however, too much fullness can give a chubby-cheeked effect. Whilst the ‘chipmunk’ appearance may look sweet as a child, sometimes they do not dissipate when a person enters adult life making them feel unattractive.
Buccal fat removal is a concept of modifying the deep fat of the face from inside the mouth, is a gentle, precise and tissue-sparing procedure for facial contouring and rejuvenation. The surgery is effective for improving facial proportions, soft-tissue asymmetries and age-related lower facial heaviness.
Buccal fat reduction is the process of surgically removing the fat pads within the cheek. This fat sits on either side of the cheek and under the cheekbones. This fat can remain even after a person loses weight, and is often perceived as giving someone a child-like appearance. As such, a buccal fat reduction is often an appealing choice.
Facial fat is composed of multiple fat compartments, arranged in deep and superficial layers. They are separated by connective tissue, forming well-defined anatomical units – known as ‘fat pads’. Their function is to provide insulation and structural support throughout the facial soft-tissues.
The adipose compartments change throughout life, some are prone to deflation (fat atrophy), whilst others may gain in volume (fat hypertrophy). These volumetric changes are reflected in the contours of the face and will determine how individual regions develop with ageing.
The buccal fat pad is a deep fat compartment that extends from the upper mid-face to the lower face (next to the mouth). Due to the elongated shape, it is prone to a downward volume-shift within the compartment and can in some instances form a small hernia. This may result in fat accumulation and potentially a bulge in the lower cheek, next to the mouth.
Slimming and contouring the face
A reduction of the buccal fat pad will result in slimmer contours of the front part of the lower face. The treatment highlights the natural definition of the underlying craniofacial architecture, providing a more defined jawline and cheekbones.
Buccal Fat Removal may be indicated as an ancillary procedure to a SMAS Facelift – reducing age related lower facial heaviness.
Modification of the Buccal Fat Pad can be performed as a stand-alone treatnment to remove excess fat from the lower cheeks. The procedure is also used for balancing congenital or acquired soft-tissue asymmetries (for example the hemifacial changes associated with facial palsy.
How long does the procedure take?
The procedure lasts one to two hours depending on the extent of the enhancements. You may experience swelling immediately after the procedure and for at least three days.
Local Anaesthesia will be administered. Your surgeon will make an incision about two to four centimetres long between the cheek and gums inside the mouth. The incision starts above the second upper molar towards the back of the mouth. The surgeon uses blunt dissection to expose the fascia and fibres of the buccinator muscle. Your surgeon will then use the pressure of his or thumb externally against your cheek right under your cheek bone causing the buckle fat to protrude through the incision. He or she will then “tease” the fat out with forceps a little bit at a time. Non-dissolvable sutures close the incisions. There may be slight differences in surgical technique depending upon the preference of your surgeon.
Most patients recover fully within three weeks, however, recovery rates vary and are influenced by your general health, nutrition and the extent of the procedure.
Our In-House Plastic Surgeon
Dr. Mohd Ali is one of Malaysia’s leading plastic surgeons and what makes him stand out from the rest is the fact that he is Malaysia’s sole Craniofacial Surgeon. Yes, there is only one Craniofacial Surgeon in Malaysia to this date and he comes with more than 15 years of experience. Craniofacial Surgeons are highly specialized in the reconstruction of head, ears, eyes, nose, cheeks, mouth, chin, face & neck region. As a Craniofacial, Plastic & Corrective Surgeon, Dr. Mohd Ali performs surgery from head to toe. Rest assured that you are in the best of hands with Dr. Mohd Ali!
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