What Is Buccal Fat Removal?

Buccal fat removal is a cosmetic surgical procedure that involves the extraction of the buccal fat pads, which are located in the lower cheeks. This procedure aims to reduce facial fullness and create a more contoured and sculpted appearance. It is particularly beneficial for individuals with a round or chubby face who desire a more defined cheekbone and jawline structure. Under the expert care of Dr. Waleed Ezzat, a double board-certified facial plastic surgeon, patients receive personalized treatment plans that focus on enhancing natural beauty while maintaining facial harmony.

How Does Buccal Fat Removal Work?

The procedure involves a careful and precise removal of the buccal fat pads through incisions inside the mouth, ensuring no visible external scars. Dr. Ezzat utilizes advanced surgical techniques to minimize discomfort and recovery time.

Steps of the Procedure May Include:

• Anesthesia Administration: Local anesthesia with sedation or general anesthesia is used for patient comfort.
• Incision Placement: Small incisions are made on the inner lining of the cheeks, inside the mouth.
• Exposure of Buccal Fat Pads: Gentle pressure is applied externally to expose the buccal fat pads through the incisions.
• Fat Removal: A specific amount of fat is carefully removed to achieve the desired contour while maintaining facial balance.
• Closure: Incisions are closed with dissolvable sutures.
• Postoperative Care: Instructions are provided for oral hygiene and diet to promote healing.

Advantages of Buccal Fat Removal

Buccal fat removal offers several aesthetic benefits by enhancing facial contours and creating a more defined appearance.

Advantages Include:

• Improved Facial Contouring: Reduces cheek fullness for a slimmer facial profile.
• Enhanced Definition: Accentuates cheekbones and jawline.
• Minimal Scarring: Incisions inside the mouth eliminate visible external scars.
• Quick Procedure: Typically completed within an hour.
• Boosted Self-Confidence: Improves self-image related to facial appearance.

Who Is a Candidate for Buccal Fat Removal?

Ideal candidates are individuals seeking to reduce facial fullness and achieve a more sculpted look. Candidates should be in good overall health and have realistic expectations about the outcomes.

Criteria for Candidates:

• Excess Facial Fullness: Presence of prominent buccal fat pads contributing to a round face.
• Good Physical Health: No medical conditions that impair healing.
• Stable Weight: Candidates should be at a stable weight, as significant weight loss could affect results.
• Non-Smokers: Smoking can affect recovery and increase surgical risks.
• Realistic Expectations: Understanding potential outcomes and limitations.
• Age Consideration: Typically adults over 18 years old.

Pre-Operative Guidelines

Preparation involves a comprehensive consultation with Dr. Ezzat to develop a personalized surgical plan. Patients should:

• Medical Evaluation: Undergo a full health assessment, including medical history and any necessary laboratory tests.
• Medication Review: Discuss all medications, supplements, and allergies with Dr. Ezzat.
• Avoid Certain Substances: Stop taking aspirin, non-steroidal anti-inflammatory drugs, and herbal supplements that may increase bleeding risk.
• Smoking Cessation: Stop smoking several months before and up to a year after surgery to promote healing.
• Pre-Surgery Instructions: Follow guidelines regarding fasting if anesthesia will be used.
• Oral Hygiene Preparation: Maintain good oral hygiene to reduce the risk of infection.
• Arrange Support: Plan for transportation and assistance during the initial recovery period.

Post Operative Care

Proper post-operative care is essential for healing and achieving optimal results. Dr. Ezzat provides detailed instructions tailored to each patient’s needs.

Post-Operative Care Includes:

• Oral Hygiene: Rinse the mouth with an antiseptic mouthwash as directed to prevent infection.
• Dietary Restrictions: Stick to a liquid or soft diet for a few days to minimize chewing.
• Manage Swelling and Discomfort: Apply cold compresses to the cheeks and take prescribed medications as directed.
• Avoid Strenuous Activity: Refrain from vigorous activities that may increase blood flow to the face.
• Incision Care: Follow care instructions for internal incisions; dissolvable sutures eliminate the need for removal.
• Follow-Up Appointments: Attend all scheduled visits for monitoring healing progress.

Recovery Time

Recovery times vary among individuals, but general timelines are:

• First Few Days:
  • Swelling and mild discomfort are common.
  • Stick to a soft or liquid diet.
• One Week:
  • Most swelling begins to subside.
  • Resume normal eating habits gradually.
• Two to Three Weeks:
  • Significant reduction in swelling.
  • Return to normal activities.
• Final Results:
  • Facial contours continue to refine over several months as healing progresses.

Frequently Asked Questions

1. How long do the results of buccal fat removal last?

The results are permanent, as the removed fat does not regenerate. However, significant weight fluctuations can affect facial fullness.

2. Will there be visible scars after the surgery?

No, incisions are made inside the mouth, resulting in no visible external scarring.

3. Is buccal fat removal painful?

Discomfort is usually mild and managed with prescribed pain medication. Most patients report minimal pain.

4. When can I resume normal activities after the surgery?

Light activities can usually resume within a few days, but strenuous activities should be avoided for at least two weeks as advised by Dr. Ezzat.

5. What are the risks associated with buccal fat removal?

Risks include infection, bleeding, asymmetry, changes in sensation, and adverse reactions to anesthesia. Dr. Ezzat minimizes these risks through meticulous surgical technique.

6. How do I choose the right surgeon for this procedure?

Selecting a double board-certified facial plastic surgeon with extensive experience, such as Dr. Ezzat, ensures specialized care and optimal results.

7. Will buccal fat removal make me look older over time?

When performed correctly, the procedure enhances facial contours without prematurely aging the face. Dr. Ezzat carefully assesses each patient to maintain facial harmony.

8. Can buccal fat removal be combined with other procedures?

Yes, it can be combined with procedures like chin augmentation or liposuction for enhanced facial sculpting.

9. Am I a good candidate if I have existing dental issues?

Existing dental or oral health issues should be addressed before surgery. A thorough evaluation by Dr. Ezzat is necessary.

10. How do I prepare for buccal fat removal?

Follow all pre-operative instructions provided by Dr. Ezzat, including medical evaluations, medication adjustments, maintaining good oral hygiene, and arranging for post-operative care.