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Related Experiment Videos

Buccal fat pad pedicle flap for midface augmentation.

O M Ramirez1

  • 1Johns Hopkins University and the University of Maryland, Baltimore, USA.

Annals of Plastic Surgery
|August 24, 1999
PubMed
Summary

This study introduces a modified technique using a vascularized Bichat's fat pad flap for midface rejuvenation. This approach enhances cheek projection and improves jowls, offering a viable solution for midface aging.

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Area of Science:

  • Plastic Surgery
  • Facial Rejuvenation
  • Anatomy

Background:

  • Midface aging involves soft-tissue ptosis and loss of cheek projection.
  • Traditional subperiosteal midface lifts may not adequately address lateral cheek volume or significant jowls.
  • Alloplastic implants are an option but face patient acceptance challenges.

Observation:

  • A modified technique utilizes a vascularized Bichat's fat pad flap during subperiosteal midface lifts.
  • The procedure involves careful mobilization of the fat pad, preserving its fascial envelope and vital structures.
  • Fixation is achieved using sutures to various anatomical landmarks based on desired outcome.

Findings:

  • The vascularized Bichat's fat pad flap effectively augments lateral cheek projection.

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  • The technique simultaneously improves lower face fullness and reduces the appearance of jowls.
  • Excellent four-year results are reported, with minor complications including fat pad tearing and temporary nerve numbness.

    • Implications:

    • This vascularized fat flap offers an autologous solution for midface volume restoration and contouring.
    • The technique provides versatility for addressing cheek augmentation and nasolabial folds.
    • Further studies, including MRI, are needed to confirm long-term outcomes and longevity.