Buccal Fat Pad Removal

Both buccal fat pad removal and liposuction of the cheeks aim to slim the face by reducing fat. However, they target different tissues and have varying approaches. Here’s a breakdown to help you decide which might be better for you:

Buccal Fat Pad Removal:

• Targets: Specifically removes the buccal fat pads, located deep within the cheeks.
• Procedure: Performed under local anaesthetic as a day case procedure. Small incisions are made inside the mouth to access and remove the fat pads.
• Results: Aims for a sculpted look with defined cheekbones and a hollowed-out cheek area.
• Recovery: Involves swelling and bruising that subsides within a week or two. Most people resume normal activities quickly.
• Permanence: Removed fat pads don’t grow back.

Liposuction of the Cheeks:

• Targets: Broader fatty tissues throughout the cheeks, including areas around the jawline and beneath the cheekbone.
• Procedure: May be performed under local or general anaesthetic. Liposuction cannulas are inserted through small incisions in the face to suction out fat.
• Results: Aims for a general reduction in cheek volume – less precise than buccal fat pad removal
• Recovery: May involve more swelling and bruising than buccal fat removal, and might take longer to subside (up to a few weeks).
• Permanence: As with most liposuction procedures, fat cells can return if you gain weight.

Cosmedics Skin Clinics does not offer liposuction. Buccal fat pad removal is available at 3 London clinics.

Since the incisions are inside the mouth, there will be no visible scarring.

Your consultation will include complete pre-operative assessment and discussion:

• Initial Assessment:
  During your consultation, your surgeon will evaluate your facial anatomy, discuss your goals, and determine if buccal fat pad removal is suitable for you.
• Medical History:
  Provide a complete medical history, including current medications and any allergies.
• Expectations:
  Discuss your expectations and desired outcomes with your surgeon to ensure realistic goals.

All aspects of pre-operative preparation will be fully discussed at your consultation, so you’ll know exactly what to expect. Areas to consider include:

• Medications:
  Your surgeon may advise you to stop taking certain medications, such as blood thinners, anti-inflammatory drugs, and herbal supplements, that can increase bleeding.
• Smoking:
  If you smoke, it is crucial to stop at least 4-6 weeks before surgery, as smoking can impair healing.
• Alcohol:
  Avoid alcohol consumption for at least 48 hours before surgery.
• Transportation:
  You might wish to arrange for someone to drive you to and from the surgery clinic.
• What to wear:
  Wear loose, comfortable clothing and avoid wearing makeup, jewellery, or contact lenses.

No procedure is without risks and complications. The main concerns after a buccal fat pad removal would be:

• Infection:
  It is important to follow all aftercare directions regarding oral hygiene, as incisions are made inside the mouth. Signs of infection include increased redness, swelling, and discharge. Contact your surgeon if you notice any of these symptoms.
• Asymmetry:
  Minor asymmetry may occur, which can often be corrected with a minor revision.
• Nerve damage:
  Although rare, there is a slight risk of nerve damage affecting facial movement.
  

In order to reduce the risks, it is important to choose a trusted provider and always follow all aftercare directions.

• Activity:
  Rest with your head elevated for the first few days to reduce swelling.
• Cold Compress:
  Apply cold compresses to the cheek area for 10-15 minutes every few hours to help reduce swelling.
• Oral Hygiene:
  Keep the mouth clean to prevent infection. Rinse your mouth with a prescribed antiseptic mouthwash and brush your teeth gently.
• Diet:
  Stick to soft foods and avoid hot or spicy foods for the first few days to prevent irritation of the incisions.
• Medications:
  Take prescribed antibiotics and pain medications as directed. Avoid aspirin and other blood thinners unless advised by your doctor.
• Avoid Smoking:
  Continue to avoid smoking to promote better healing.
• Exercise:
  Avoid strenuous activities and exercises that could strain the facial muscles for at least 2-3 weeks.
• Follow-Up:
  Attend all scheduled follow-up appointments with your surgeon to monitor your healing progress.