Buccal fat pad removal to improve facial aesthetics: an established technique?

Abstract

BackgroundBuccal fat pad (BFP) is a singular structure between the facial muscles. Its removal may enhance the zygomatic prominences resulting in an inverted triangle of beauty. Objective: The aim of this study was to perform a systematic review of literature about BFP removal for facial aesthetic improvement. In order to answer the following research question: What are the indications, complication types and rates, surgical techniques and outcomes of the technique?Material and MethodsThe initial search in Pubmed, Scopus, and Cochrane databases recognized 220 articles. The final review included eight of them. None of the included studies were clinical trials.ResultsBPF removal was performed by intraoral incision or associated with the face lift procedure. In 71 patients submitted to the procedure and evaluated about complications, only 8.45% presented minor complications. Parotid duct and facial nerve injuries were not found. No study evaluated facial aging and long-term effects, therefore the harmless effect of the procedure to those features is not clear.ConclusionsAlthough it is not a novel procedure, there is a lack of information about long-term outcomes. Thus, controlled clinical studies should be performed to achieve adequate clinical evidence of those aspects. Key words:Buccal fat pad, facial sculpting, cheek surgery, buccal lipectomy.

Adipose-Derived Stromal/Stem Cells from Large Animal Models: from Basic to Applied Science

“…However, another report by Niada et al [ 44 ] demonstrated no differences in viability, proliferation, clonogenicity and adipogenic, osteogenic, or chondrogenic differentiation between pASCs from subcutaneous interscapular fat and buccal fat pads. Interestingly, this data supported future clinical applications of stem cells from buccal fat, the depot that is discarded tissue during cosmetic surgery for cheek reduction in humans [ 46 ]. Moreover, Burk et al [ 38 ] found that adipose tissue provided a higher number of cells per tissue unit as compared to umbilical cord blood or flexor tendon.…”

The (in)adequacy of translational research in dentistry

“…The second case is the procedure for the removal of the buccal fat pad () (also called bichectomy) for aesthetic purposes. A recent published systematic review () found only case reports and case series reporting on the effects of this procedure. In other words, no randomized study was identified in this systematic review, and the case reports and case series were rated as having a high risk of bias ().…”

“…A recent published systematic review () found only case reports and case series reporting on the effects of this procedure. In other words, no randomized study was identified in this systematic review, and the case reports and case series were rated as having a high risk of bias (). Side effects, such as a haemorrhage and facial asymmetry, were reported in four of the eight studies included.…”

Lipectomia bucal: relato de complicação cirúrgica mediata

“…O sucesso do procedimento pode estar associado ao excelente suprimento sanguíneo da região, fácil mobilização e morbidade mínima (Mannelli et al 2019). A taxa de complicação do procedimento é de 8,45%, sendo mais frequentes os edemas, hematomas, infecções e lesão dos vasos faciais (Klüppel, Marcos, Research, Society and Development, v. 9, n. 10, e4949108921, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i10.8921 4 Shimizu, Silva, & Silva, 2018); Moura, Spin, Spin-Neto, & Pereira-Filho, 2018). Esse trabalho tem como objetivo relatar um caso de complicação mediata de lipectomia bucal e discutir prováveis fatores que determinaram esse evento, bem como as condutas adotadas no manejo desta intercorrência.…”