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The Five Ds for Safe and Effective Buccal Fat Removal.
Rod J Rohrich1,2, Faryan Jalalabadi3
1From the Division of Plastic Surgery, Baylor College of Medicine.
Plastic and Reconstructive Surgery
|February 2, 2023
Summary
Buccal fat pad excision can enhance facial contours by reducing central facial adiposity. This surgical technique, when combined with other procedures and careful patient selection, creates a sculpted malar, cheek, and jawline.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Facial Anatomy
Background:
- Central facial adiposity, often due to buccal lipodystrophy, detracts from aesthetic facial contours.
- Many adults desire sculpted malar, cheek, and jawline definition.
Purpose of the Study:
- To present a reliable five-step technique for buccal fat pad excision.
- To achieve attractive central facial concavity and improve facial aesthetics.
Main Methods:
- The study details a five-step technique for buccal fat pad excision, termed the 'Five Ds'.
- The technique may be combined with malar fat pad augmentation and mandibular contouring.
- Emphasis is placed on appropriate patient selection to avoid unnatural results.
Main Results:
- The described technique provides a safe and reliable method for buccal fat pad excision.
- Successful execution can lead to enhanced malar, cheek, and jawline contour.
- Proper patient selection is crucial for optimal aesthetic outcomes.
Conclusions:
- Buccal fat pad excision is an effective procedure for addressing central facial adiposity.
- The 'Five Ds' technique offers a structured approach to achieving desirable facial contours.
- Careful patient selection is paramount for successful and natural-looking results in facial contouring surgery.

