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Buccal Fat Pad Reduction With Intraoperative Fat Transfer to the Temple
Matthew J Lin1, Ezra Hazan1, Ann M John1
1Drs. Lin, Hazan, Dubin, and Khorasani and Ms. Younessi are from the Division of Dermatologic Surgery, Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York. Dr. John is from the Division of Dermatologic Surgery, Department of Dermatology, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Buccal fat pad reduction can deplete temple volume. This study introduces a technique transferring buccal fat to the temples, addressing midface volume reduction and enhancing facial contouring for aesthetic results.
Area of Science:
- Plastic Surgery
- Facial Aesthetics
- Anatomy
Background:
- Buccal fat pad reduction is increasingly popular for midface and lower face volume reduction.
- Buccal fat removal can lead to temporal hollowing, especially in aging patients with existing volume loss.
- Current procedures may not fully address temporal concavity.
Purpose of the Study:
- To describe a novel surgical technique for facial contouring.
- To address volume depletion in the temporal fossae secondary to buccal fat pad reduction.
- To achieve aesthetically pleasing facial sculpting by fat transfer.
Main Methods:
- A technique involving partial excision of the buccal fat pad.
- Simultaneous autologous fat transfer from the buccal space to the temporal fossae.
- Focus on achieving harmonious facial volume and contour.
Main Results:
- Successful redirection of buccal fat to the temporal region.
- Restoration of volume in the temporal fossae.
- Improved overall facial aesthetics and contouring.
Conclusions:
- This combined buccal fat excision and temporal fat transfer technique offers a solution for patients seeking facial volume reduction and contour enhancement.
- The procedure effectively addresses potential temporal hollowing associated with buccal fat removal.
- It provides a dual benefit of reducing unwanted facial volume while simultaneously augmenting the temples for balanced aesthetics.

