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Buccal Fat Pad Excision: Hydrodissection Technique.

Luis C Valencia1, Giovanny F Pérez1, Jordan Kaplan2

  • 1Residents, Department of Plastic Surgery, National Autonomous University of Mexico, Mexico City, Mexico.

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|February 16, 2019
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Summary
This summary is machine-generated.

Buccal fat pad (BFP) excision using hydrodissection significantly reduces operative time and postoperative pain compared to traditional methods. This technique facilitates easier BFP extraction, leading to a more comfortable patient recovery.

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Area of Science:

  • Plastic Surgery
  • Facial Aesthetics
  • Minimally Invasive Procedures

Background:

  • Buccal fat pad (BFP) excision is a cosmetic procedure to enhance facial appearance.
  • Traditional BFP extraction methods can be time-consuming and associated with discomfort.

Purpose of the Study:

  • To evaluate an alternative hydrodissection technique for BFP excision.
  • To compare the efficacy of hydrodissection-assisted BFP excision versus conventional methods.

Main Methods:

  • A prospective, randomized clinical study comparing BFP excision with hydrodissection (Group A) versus conventional excision (Group B).
  • Analysis of surgical time, intraoperative bleeding, and postoperative pain (visual analog scale) over 72 hours.
  • Standardized postoperative care and 6-month follow-up for all 54 participants.

Main Results:

  • Hydrodissection group (A) showed significantly lower operative times (8:18 min vs. 14:08 min) and reduced pain scores at all measured intervals (P < 0.0001).
  • A positive correlation was observed between operative time and pain levels.
  • Postoperative complications occurred in 5.5% of patients, with no significant difference specified between groups.

Conclusions:

  • Hydrodissection-assisted BFP excision is an effective technique.
  • This method decreases surgical duration and intraoperative manipulation.
  • Reduced postoperative pain and improved patient recovery are key benefits.