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Buccal fat (Bichat’s fat pad) removal

Buccal fat (Bichat’s fat pad) removal is a surgical procedure performed to reduce plump cheeks, highlight the jaw line, the contour of the face and give the face a finer, more oval and more attractive shape.

Bichat’s fat pad in the cheek area has a significant effect on the overall appearance of the face. This fat is usually concentrated in the lower cheeks; it deforms the face and makes it look older. Bichat’s fat pad cannot be removed with the help of diets, the only effective solution to this problem is surgery. Buccal fat removal is performed for both men and women.

It is important to know that buccal fat pads are genetically inherited, and does not depend on a person’s weight. Excess subcutaneous fat formed on the face due to excessive weight can be reduced by adjusting your diet and body mass index.

Consultation with a plastic surgeon is necessary prior to surgery, who will help assess the anatomy of the patient’s face, and discuss the expectations, surgery plan and details.

Surgical procedure

Buccal fat (Bichat’s fat pad) is usually removed using local anaesthesia, but general anaesthesia may be used at the patient’s request. The operation takes about an hour.

During the operation, a small incision is made in the buccal mucosa at the level of the fourth upper teeth. Part of the Bichat fat pad in the middle of the cheeks, below the cheekbone, is removed, allowing to achieve a slightly V-shaped facial contour. The incision site is usually sutured with soluble threads that dissolve over time.

Postoperative period

The patient can be discharged home the same day after surgery, and care will be continued on an outpatient basis. The time of the postoperative visit will be appointed by the operating doctor.

After surgery, the face may be a little swollen, but the swelling will subside after a maximum of a couple of weeks. While the buccal mucosa is healing, it is advisable to rinse your mouth frequently and avoid hot, spicy and hard food. Intense exercise should be avoided for about 1-2 weeks.

Results to expect after surgery

The final aesthetic result can be evaluated 2-3 months after the procedure. Patients are delighted by subtle and natural-looking changes: pronounced cheekbones and jaw line, and highlighted oval shape of the face. There are no scarring after this operation because the incision is made in the buccal mucosa.