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Buccal Fat Pad Augmentation for Facial Rejuvenation
Steven R Cohen1,2, Emily Fireman1,2, Sierra Hewett1,2
1San Diego, Calif.
Plastic and Reconstructive Surgery
|May 25, 2017
Summary
Buccal fat pad atrophy can be safely treated with fat grafting into the buccal space via an intraoral approach. This procedure offers persistent facial volume restoration for rejuvenation.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Regenerative Medicine
Background:
- The buccal space and its associated fat pad are crucial for facial aesthetics.
- Buccal fat pad atrophy can lead to facial depression and affect rejuvenation outcomes.
- Identifying specific patient groups for targeted interventions is key in facial surgery.
Purpose of the Study:
- To evaluate the safety and efficacy of fat grafting into the buccal space for patients with buccal fat pad atrophy.
- To assess the potential for facial volume restoration and aesthetic improvement.
Main Methods:
- Prospective study of 24 patients undergoing fat grafting and face lifts.
- Eight patients received an average of 2.7 ml of autologous fat into the buccal space via a transoral approach.
- Assessment of immediate visual correction and long-term volume persistence.
Main Results:
- Immediate visual correction of buccal depression was observed post-procedure.
- No overcorrection or adverse events were reported in the treated patients.
- Persistent facial volume was maintained up to 24 months after fat grafting.
Conclusions:
- Fat grafting into the buccal space is a safe and effective method for addressing buccal fat pad atrophy.
- The intraoral approach provides a viable option for facial rejuvenation in selected patients.
- This technique offers a durable solution for restoring facial volume and contour.

