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Buccal fat pad lifting: an alternative open technique for malar augmentation
Kazem Khiabani1, Seied Omid Keyhan2, Payam Varedi3
1Assistant Professor, Department of Oral and Maxillofacial Surgery, Jundishapour University of Medical Science, Ahvaz, Iran.
Summary
This study introduces a novel buccal fat pad pedicle flap technique for malar augmentation. The technique shows minimal resorption and no major complications, offering a new option for cheekbone enhancement.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Malar augmentation addresses cheekbone volume and contour.
- Existing techniques may have limitations in achieving natural results or managing complications.
Purpose of the Study:
- To present a novel technique for malar augmentation utilizing buccal fat pad pedicle flaps.
- To assess the long-term outcomes and potential complications associated with this innovative surgical approach.
Main Methods:
- A prospective clinical trial was conducted involving patients undergoing malar augmentation.
- The study employed the buccal fat pad pedicle flap technique for esthetic or post-traumatic cheekbone reconstruction.
- Outcomes measured included augmentation, resorption, pain, edema, bruising, and nerve/duct injuries.
Main Results:
- Thirteen patients (8 male, 5 female) were treated with the buccal fat pad pedicle flap technique.
- One-year post-surgery, average resorption was minimal at 0.376 mm.
- No significant complications like prolonged bruising, hematoma, intense pain, asymmetry, or parotid duct injury were reported.
Conclusions:
- The buccal fat pad pedicle flap technique is a viable alternative for malar augmentation.
- This open-access method is suitable for managing mild to moderate malar depression in esthetic and trauma cases.
