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Buccal Fat Excision

What is Buccal Fat Excision?

A sculpted face with smooth and chiseled contours is sought after not only by models, celebrities and those in the media, but by anyone wanting to attain an aesthetically pleasing face. Puffiness or heaviness in the cheek area can mask the contours of a beautiful upper cheekbone and lower jawbone. This fullness or puffiness can often be contributed to what is called Buccal Fat.

Buccal Fat is the fat pad that is found in the cheek area and extends up into the skull. The Buccal Fat Pad is comprised of three areas, and the area which can show. Cosmetically is the fat pad residing specifically in the cheek area. This plumpness appears just above the jaw line and lip. Many patients complain about fullness in this area which may, or may not be attributed to Buccal Fat. Sometimes fullness in the cheek area is due to other medical conditions and/or disfigurement due to previous surgery, accidents or trauma. However, in those circumstances where Buccal Fat is the culprit for puffiness and fullness in the cheek, a minor surgical procedure can be performed to reveal and enhance the contour of the upper cheekbone and lower jawbone.

Effects of Buccal Fat Excision

Buccal Fat Excision Surgery is performed under local anesthesia and light sedation. The procedure is performed on an outpatient basis and lasts approximately one hour. There is typically a small amount of swelling and no bruising post operatively. It takes approximately one month for swelling to resolve completely and up to three months for the final result.

Candidates for Buccal Fat Excision

As always, good health and realistic expectations are necessary for any successful result in Cosmetic surgery. Buccal Fat Excision Surgery is a good choice if you have excessive puffiness or plumpness in the cheek area which was not as a result of trauma, accident or previous surgery. Buccal Fat Excision Surgery is also a good choice to enhance your cheek and jaw bones.

You must be mentally and emotionally stable to undergo an cosmetic procedure. No surgeon would agree to work on a mentally unstable person. At least he should not. Surgery is not getting a cavity filled. This is an operation which requires patience and stability in dealing with the healing period. There is sometimes a lull or depression after surgery and if there is already a pre-existing emotional problem, this low period can develop into a more serious issue. Please consider this before committing to a procedure.

Your Consultation

Buccal Fat Excision Surgery is a good choice if you have excessive puffiness or plumpness in the cheek area which was not as a result of trauma, accident or previous surgery. Buccal Fat Excision Surgery is also a good choice to enhance your cheek and jaw bones.

During your consultation, the Surgeon will closely examine your facial features and cheek area and thoroughly describe what you can expect from Buccal Fat Excision Surgery. Last, risks, which may affect surgical outcome, will be

The Buccal Fat Excision Procedure

Buccal Fat Excision Surgery is performed under local anesthesia and light sedation. The procedure is performed on an outpatient basis and lasts approximately one hour. There is typically a small amount of swelling and no bruising post operatively. It takes approximately one month for swelling to resolve completely and up to three months for the final result.

Recovery

The recovery process is relatively quick and painless. For a few days the patient will look like they have had oral surgery with swollen cheeks, but no bruising. By one week, the patients generally look like they did pre-operatively and the final results become apparent after 4-6 weeks as residual swelling disappears.

Risks

All forms of cosmetic surgery carry some degree of risk. With buccal fat removal, infection and adverse reactions to the anesthetic are the biggest possible risks.

Numbness is normal after undergoing surgery, and usually subsides after a few weeks. Loss of sensation is usually found around the incision lines, on the central cheeks, or the jawline. In rare cases, the numbness can be a long-term, possibly permanent condition.

Those considering buccal fat removal before their mid-20�s should take into account that oftentimes as we get older, facial fat is lost and our face will naturally thin out. So if you choose to have this surgery before then, and your face naturally thins out later on, this may result in a scrawny look. So, people need to take genetics into consideration and should check to see if round cheeks run in their family. Note that buccal fat is contained within membranes and cannot be replaced once it is taken out.

FAQs

Will my hair have to be shaved in order to do the Brow Lift?

Hair shaving is not necessary in order to do the Brow Lift. During the Endoscopic Brow Lift, small incisions will be placed within the hair and no scalp or forehead skin will be removed. With the Coronal or frontal hairline incisions, the hair is parted then after the lift has been completed the scalp will be re-approximated without any gaps.

Can Blepharoplasty be done at the same time as Brow Lift?

These two procedures can be done simultaneously, especially if the Brow Lift and the Blepharoplasty are required in order to achieve the best results. Basically the Brow Lift is the first procedure to be done and the more conservative upper Blapharoplasty is done last, because there will be less excess upper eyelid skin after the Brow Lift.

How can I tell if I need a Brow Lift as opposed to Blepharoplasty (Eyelid Tuck)?

There are a lot of cases where the position of the brow contributes to the appearance of the excess skin in the upper eyelids. A heavy brow would tend to sag low on the forehead which will make the upper eyelids look more creased. Bringing the brow higher to its proper position would improve the appearance of the upper eyelids without any surgery.

What factors can prevent me from being a good candidate for an Endoscopic Forehead lift?

Patients with very high foreheads or receding hairlines (baldness) are not considered candidates for the Endoscopic Forehead Lift because the necessary incisions may not be placed inconspicuously thus resulting for the hairline to recede even further. In cases like these placing the incision at the frontal hairline (or in the mid-forehead crease) will allow the brow to be lifted properly without moving the hairline.

Will a Brow Lift give me a “surprised” look?

With careful planning and execution of BHMG’s certified surgeons, the Brow Lift is sure to improve the appearance of the forehead and the eyebrows thus not resulting in a “surprised” look.

When can I shampoo or have my hair colored after Brow Lift?

Surgeons usually allow patients to shampoo and condition their hair 24 to 48 hours after the procedure. Hair coloring and trimming is allowed 2 to 3 weeks after the surgery or when the incisions are completely healed.

Will insurance cover my Brow Lift procedure?

Every insurance company has different policies so we recommend that you check with your own insurance company to determine the level of coverage. Although a Brow or Forehead Lift is a strictly cosmetic procedure, there are rare situations that the procedure is deemed medically necessary because of visual impairment. Securing a medical certificate from your ophthalmologist will also help in obtaining a reimbursement from your insurance company.

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