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Buccal Fat Excision Surgery

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Buccal Fat Excision Surgery

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.

What is Buccal Fat Excision Surgery?

Buccal Fat Excision Surgery is a procedure which entails a small incision on the inside of the cheek around the area of the molar teeth.  The incision is gently opened using a surgical scissor and the Buccal Fat presents itself between the “Massater” muscle and the soft tissue of the cheek.  The Buccal Fat is then gently teased out, as it flows freely out of the incision as yolk from an egg.  Once the Buccal Fat has been extracted, the small 2 cm incision is closed using an absorbable suture. There are no visible scars in this case and oral incisions heal quickly.
Buccal Fat Excision Surgery is performed under local anesthesia. 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.

Creating Dimples

It is possible to surgically create permanent dimples, and the surgical procedure to create dimples is very simple and straightforward when done properly.  The procedure can be performed in the office under nothing more than just local anesthesia.

How Is a Dimple Created Surgically?

Dimple creation surgery can simulate this naturally occurring process.  To create a dimple, a small painless incision is made on the inside of your cheek. There is no incision or scar on the outside skin.  A small absorbable suture is passed through the inside of the cheek and catches the undersurface of the skin where the dimple is desired.  When this suture is tied it causes a dimpling in the overlying skin.  At first, there is a dimple present even without smiling, but after several days, or sometimes a few weeks, the dimple is only present while smiling or moving the face.  The scarring between the inner skin and muscle will cause a permanent dimple even after the suture is absorbed.

Dimple creation surgery can be done on any type or size cheek, although some cheeks are probably better candidates than others.  You can decide where the dimples will be, or you can have the plastic surgeon decide with you where the most optimal place for the dimples should be on your face.

Dimple creation surgery can be done in our office with nothing more than local anesthesia.  You will be awake and comfortable during the entire dimple surgery process. The dimple surgery takes about 20 minutes to perform and you can go home right away after the procedure.

Dimple creation surgery is safe and effective, but also potentially reversible.  There are minimal complications with dimple formation aside from a little bit of swelling and bruising. You should be able to resume your normal activities the following day.  You will take antibiotics for only a couple of days after your dimple creation surgery.

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