Buccal Fat Pad Removal


Buccal Fat Pad Removal

If the idea of being bare faced yet looking as if you are wearing professional contour makeup sound appealing then  buccal fat pad removal could be for you. It is a surgical procedure that removes all or part of the fat pad in the lower cheeks to give your face a more sculpted look. Your buccal fat pad sits inside your mouth. Some people are born with a fattier or more pronounced pad than others. Furthermore, this pad is resistant to diet and exercise.  Buccal fat pad removal as part of V-Contour surgery can permanently give you higher looking cheekbones and a more chiseled face.

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Pairs Well With

  • Arnica

    Available in-office, our blend of medical-grade Arnica, Bromelain, and Vitamin K is much more potent and bioavailable than those available in drug stores. We recommend taking 2 pills daily starting up to 1 month, 2 weeks, or a couple days before your procedure and continuing until bruising and swelling have resolved. Also available with Tumeric to take starting 2 weeks after your surgical procedure for added anti-inflammatory benefits.

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  • Oxygenetix Oxygenating Foundation

    Formulated specifically with Ceravitae to produce oxygen and allow your skin to breathe, Oxygenetix's Oxygenating Foundation is a fan favorite at The Skin Spot. Beneficial for all skin types, this conscious cosmetic goes on sheer and provides buildable coverage, perfect for post-procedure or while dealing with a skin flare. We swear by this beautiful, breathable makeup that also has SPF 30.

    click to purchase
  • Lightstim

    LightStim LED Light Therapy is a therapeutic tool to ease pain while aiding in your body’s natural recovery process. LightStim for Pain emits warm and soothing light energy proven to temporarily relieve arthritis, muscle and joint pain and stiffness, as well as increases blood circulation.

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  • Clinical Resolution- Peptide Aqua Gel Face Mask

    The Peptide Aqua Gel Mask employs an innovative technology called TCD (Transdermal Cosmetic Delivery), which slowly absorbs body heat to release its vital components to the skin. It provides occlusive protection from harmful elements for safe recovery. It also helps to quickly replenish moisture. This cooling mask is refreshing while leaving your skin smooth and deeply hydrated. Pamper yourself with this mask any time your skin feels like it needs a pick me up. It is meticulously designed to calm, soothe and moisturize irritated skin. Apply the mask after sunburns, microneedling therapy, or ablative procedures. Peptides and other powerful anti-aging ingredients will facilitate comprehensive skin rejuvenation.

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Dr. Nazarian featured Articles

Ideal Surgery Candidate

As with any aesthetic procedure, it is important to be assessed in person during a buccal fat pad removal consultation. You want to make sure that this is the right procedure for your individual needs. Cheek reduction surgery is ideal for any patient who:
  • is bothered by their full, round cheeks
  • desires a slimmer, more contoured lower face
  • is teased about having “chipmunk cheeks”
  • wants sharper, more defined cheekbones
However, it is important to keep in mind that buccal fat removal is not a weight loss technique. If fullness in the face is due to extra pounds then Dr. Nazarian will always prescribe a healthy diet and exercise regime to get you back into fighting form.  The fat in the buccal fat pad is actually quite different than normal fat in terms of its consistency or genetic makeup. It is very fibrous and encapsulated which is why it is easy to remove surgically. Since the buccal fat pad is part of the lower face, Dr. Nazarian will also examine your neck, jowls, marionette lines, skin laxity, and masseters or jaw muscles.

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V-Contour Procedure

Buccal fat pad removal surgery is typically performed under local anesthesia in our Beverly Hills procedure room. Cheek reduction surgery can be done under general anesthesia if desired by the patient, but it is rarely necessary, unless we are doing another procedure like liposuction or breast augmentation at the same time. The surgery takes about 20 minutes. During the procedure, Dr. Nazarian will make a 1 cm incision inside your mouth. The buccal fat pad is about the size of a large grape. The incisions are closed with one suture that usually falls out on its own. Since all of the incisions are placed within the mouth, there is no external scar.

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Combination of Procedures

Dr. Nazarian will often combine cheek reduction surgery with other procedures in order to enhance your facial contour. While liposuction should never be used to reduce the buccal fat pad, liposuction can be performed in other regions of the cheeks to remove fatty deposits and deliver a slimmer looking face. These areas include the: 
  • jawline
  • neck
  • jowls
Buccal fat pad removal is often combined with:
  • neurotoxin to the masseter muscles 
  • fillers to the marionette lines, laugh lines or cheeks
  • blepharoplasty
  • brow lift
  • face lift
Something to consider carefully with buccal fat pad removal is how you may look as you get older. If the entire pad is removed, you are going to see a dramatic difference immediately. Most people want to look their best now and request for full removal. Near 70 years of age or older, some buccal fat removal patients do empty out in the buccal fat area, but fillers or fat transfer are both great options to restore volume. The face has a lot of blood vessels and fat transfer back into the buccal fat area when you are older has a lot of viability. Dr. Nazarian will spend considerable time during your initial consultation discussing your desired result, including potential factors such as genetics and environmental stressors.

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Surgery Results

It depends on the patient, and how much of the pad is removed. Most patients who have the entire pad taken out notice a difference immediately in spite of the swelling. If only part of the pad is removed, however, it’s going to take longer to see your results. It may take 1 month for the majority of the swelling to subside. Things will continue to improve over the next 3 months, so I always tell my patients to be patient. Good things are worth waiting for, as ultimately patient satisfaction with this surgery is really high.

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Asked Questions

Can I liposuction the buccal fat pad?

No. The buccal fat is a different consistency that regular fat, and about the size of a large grape. Between that and its location deep within the face, liposuction is not an option. I will oftentimes liposuction fatty deposits elsewhere on the cheek, jowls and neck in addition to your cheek reduction surgery in order to deliver really spectacular results. This is called a V-Contour procedure.

Are my results permanent?

Yes. The results from buccal fat pad removal are permanent unless you put on a significant amount of weight. Typically, gaining 20 or more pounds could cause your cheeks to become chubby again. Because of this, it’s important to be at a maintainable weight before considering any type of aesthetic surgery.

How Do You Get Rid of Face Fat?

Some people try to get rid of face fat on their own through facial exercises. They believe facial exercises help build muscle tone, but there is no research that proves facial exercises help with fat loss. Other people incorporate more cardio exercise into their lives. They increase their water intake, avoid alcohol, and reduce their carb consumption. They also limit sodium in their diet and strive to get more sleep in hopes of losing weight. Unfortunately, these do-it-yourself methods do not provide instant results and sometimes have limited results. For this reason, if you want to get rid of face fat, you should consider a buccal fat removal procedure.

Do I Need Buccal Fat Removal?

Buccal fat removal is a cosmetic procedure  It isn't medically necessary. People who are dissatisfied with their face structure may opt for buccal fat removal. No one should undergo the surgery to please someone else. Patients who are healthy and at their ideal weight are good candidates for the procedure.

How Safe Is Buccal Fat Removal?

As with any surgery, there are risks to buccal fat removal. Possible risks include bleeding, hematoma, infection, deep vein thrombosis, cardiac and pulmonary issues, numbness, anesthesia risks, facial muscle weakness, and other complications. If you already have a slender face, you should not get buccal fat removal. It will only make you look gaunt or hollow around your cheeks. On the other hand, if you have a chipmunk cheek look or have a weighted down appearance to your face, buccal fat pad removal may be right for you.

Does Buccal Fat Removal Hurt?

You are put under general anesthesia or local anesthesia. Your plastic surgeon may also give you intravenous sedation during a buccal fat removal procedure. This enables you to remain comfortable while in surgery. Since you will receive anesthesia, you will not feel pain during the procedure. After the procedure, you will experience pain, swelling, and bruising. Fortunately, the pain and discomfort go away after a few days.  The majority of the swelling is during the first 10 days.

How Long Is Recovery From Buccal Fat Removal?

During the first week after buccal fat removal, you should avoid all strenuous activity. Your doctor will encourage you to engage in light physical activity like regular short walks around your house. This light activity will reduce the risk of blood clots and benefit your circulation. After buccal fat removal, you can usually return to normal activities within two weeks. Two to five weeks after surgery, you may still have some minor swelling.

How Do You Reduce Swelling From Buccal Fat Removal?

After your buccal fat removal, you will have swelling and some mild discomfort. Tylenol can help with your pain. Applying ice can help reduce pain and swelling. Regularly apply ice for the first 72 hours after the procedure. This will help reduce swelling and speed up your recovery.

What Should I Eat After Buccal Fat Removal?

Since you will have 2 small incisions in your inner cheeks after the buccal fat removal procedure, avoid granular and sharp foods like tortilla chips and couscous. Instead, opt for mashed potatoes or a well-mixed smoothie. You will have 2 stitches inside your mouth, but sharp or granular foods can get in the wounds.

How Much Does Face Fat Removal Cost?

Face fat removal is considered a cosmetic procedure, so insurance will not cover the surgery. This kind of treatment usually costs about $3000-8000, but price may vary according to geographic location and your plastic surgeon's experience. Contact your plastic surgeon's office for more information on the procedure's cost. Keep in mind that having an experienced, board-certified plastic surgeon is worth paying a higher price.

Does Buccal Fat Come Back?

Buccal fat does not come back. That’s because complete buccal fat removal is a permanent procedure. When the buccal pads are removed, fat will not return to the cheeks. Your cheeks will remain slender even if you gain weight in other areas of your body. In contrast, if you only have a partial buccal fat removal, fat can return if you gain weight.

What Are Buccal Fat Pads?

Buccal fat pads are pockets of fat located in your cheeks. If you have large buccal fat pads, your cheeks may appear excessively chubby. Large buccal fat pads may also make other people think you are younger than you really are. This can lead to dissatisfaction with your appearance. When your buccal fat pads are surgically removed, your face appears more slender and contoured. Each person has different sized buccal fat pads. Moreover, the buccal fat pad in one cheek may be a different size than your other cheek. Plastic surgeons avoid performing buccal fat pad removal surgery on people with naturally slender faces.

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Posted by Nazarian Plastic Surgery on Thursday, May 2, 2019