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Buccal fat pad excision for cheek refinement: A systematic review.

B Traboulsi-Garet1, O Camps-Font, M Traboulsi-Garet

  • 1Faculty of Medicine and Health Sciences - University of Barcelona C/ Feixa Llarga, s/n; Pavelló Govern, 2ª planta 08907 - L'Hospitalet de Llobregat, Barcelona, Spain ocamps@ub.edu.

Medicina Oral, Patologia Oral Y Cirugia Bucal
|May 23, 2021
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Summary

Buccal fat pad (BFP) excision offers favorable initial results for facial aesthetics and has a low complication rate. However, the scientific evidence is limited, with poor methodology and a lack of long-term follow-up data.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Evidence-Based Medicine

Background:

  • Buccal Fat Pad (BFP) excision is a common aesthetic surgical procedure.
  • Scientific evidence supporting BFP excision's efficacy is scarce and of low quality.
  • Limited data exists on the long-term outcomes of BFP excision.

Purpose of the Study:

  • To systematically review and analyze data on the efficacy and safety of BFP excision for improving midface aesthetics.
  • To assess BFP volume reduction, adverse effects, and patient satisfaction after BFP excision.

Main Methods:

  • Systematic literature search of MEDLINE (PubMed), Scopus, and Cochrane Library databases.
  • PICO approach used: comparing healthy patients before and after BFP excision for cheek slimming and facial contouring.
  • Qualitative synthesis of data from included studies.

Main Results:

  • Four studies were included in the qualitative synthesis.
  • One study reported a mean BFP volume reduction of 3.10 mL (95%CI: 2.38 to 3.80).
  • 84.6% of patients reported improved facial contour, with 15.4% noting better cheek appearance; 7 complications were reported in 134 procedures.

Conclusions:

  • BFP removal demonstrates initially favorable outcomes for facial aesthetics.
  • The procedure is associated with a low postoperative complication rate.
  • Concerns exist regarding the quality of methodology and the lack of long-term follow-up data for BFP excision procedures.