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Buccal Fat Pad Excision: Proceed with Caution.

Martin Benjamin1, Richard G Reish2

  • 1Department of Plastic Surgery, Nassau University Medical Center, East Meadow, New York, N.Y.

Plastic and Reconstructive Surgery. Global Open
|December 12, 2018
PubMed
Summary
This summary is machine-generated.

Buccal fat pad excision for midface aesthetics lacks long-term follow-up data. Further research is needed to understand potential aging-related complications and patient satisfaction after this popular cosmetic procedure.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Facial Anatomy

Background:

  • Buccal fat pad excision is a popular cosmetic procedure for midface aesthetic enhancement.
  • The procedure is widely shared on social media with limited information on long-term outcomes.
  • There is a need to investigate potential complications and long-term results of this procedure.

Purpose of the Study:

  • To retrospectively analyze published data on buccal fat pad excision for aesthetic midface improvement.
  • To identify and elucidate potential pitfalls associated with this underreported procedure.
  • To highlight the lack of long-term patient follow-up in existing literature.

Main Methods:

  • A comprehensive literature search was performed in October 2017 using the PUBMED database.
  • Searched for studies concerning buccal fat pad excision for aesthetic midface enhancement.
  • Included 11 articles after screening 121 citations based on predefined inclusion/exclusion criteria.

Main Results:

  • Only two studies reported case series with more than five patients, totaling 53 patients.
  • Neither of the included studies provided long-term follow-up data.
  • No information was available on patient satisfaction or related outcomes in the analyzed literature.

Conclusions:

  • Buccal fat pad resection is described for aesthetic purposes, but long-term consequences are not documented.
  • The literature lacks data on subcutaneous fat loss with aging and secondary deformities post-procedure.
  • Further research focusing on long-term patient follow-up, satisfaction, and complication reporting is essential.