plastic surgery

CHEEK SLIMMING (Buccal Fat Pad Removal).

We adore chubby cheeks of small children, but we treat fat cheeks of adults quite differently…óìåíüøåíèå îáúåìà ùåê

To emphasize the contour of the cheekbones and give the face aristocratic look women use some make up secrets - darkening the area under the cheekbones. However, these make up techniques will not help fat cheeks look better.

Buccal fat extractionis a surgery that will help to reduce the volume of the buccal areas (lower part).
The result of this intervention – is well-noticeable contour of the cheekbones and slightly sunken cheeks.
Many of the mannequins and models look as if they did this surgery (and perhaps they actually did, who knows?)

However, you have to remember that your face might not be like the face of world famous model or actress.

To understand how your face will look try to pull the lips, as for the whistle, and retract your cheeks as if you smoke.

And if you like the result, then you can easily go for this simple surgery.

But if you are less than 25 years old, the reduction of the cheeks might not be the best idea. The excision of fat lumps is more likely to give excellent results now, but later, after age- related decrease of fat layer your face will look tired and exhausted.
Of course, if you have chubby cheeks due to genetics, everything said above does not refer to you.

! ! Remember that you will not be able to restore removed fat lumps anymore.
 

A bit of anatomy.

Buccal Fat Pad (M. F. Bichat) is a dense cluster of lumps that form “fat body” of cheeks, which is located below the cheekbone, between the skin and buccal mucosa. This is quite big lump of fat - about the size of a hen's egg. It has several extensions, which are often situated beyond the cheek. Bichat provides volume in lower part of the cheek, but it is not responsible for the fullness in the corner of the lips.
The purpose of cheek fat body is yet not determined, but it is believed that it acts as a gasket between the masseter muscles.

There are two ways to reduce cheek volume:
  • liposuction
  • Buccal fat extraction.

However, if liposuction gives a remarkable effect for neck contour, it will not be the best method for cheek correction. Liposuction of the cheeks has been practiced before, but its result was often the same – swelling and slightly noticeable effect or even its absence.

Therefore, Buccal fat extraction can now be considered as the only efficient method of cheek correction.

 

Surgery

Buccal fat extraction can be done under local anesthesia, but it is mentally hard for patients to bear the process of this surgery and therefore general anesthesia is more preferable.
The surgery can be performed alone or combined with chin liposuction or cheekbones implantation.

It can also be combined with rejuvenating operations in case of deep nasolabial folds and "heavy" oval face.

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Excision is performed through a small incision in the buccal mucosa. The amount of removed fat depends on the face type and desired results. If a face is really full, a greater amount of fat will be removed to achieve the effect, which will be noticeable even through thick skin. The danger to get "hollow" cheeks is unlikely.
For skinny people fat lumps removal will be carried out very carefully in order to avoid the effect of "tired" face in following years. .
The variant, when Bichat is not excised, but moved into the cheekbone area, is possible as well.
After surgery the incision gets sutured. Then a doctor places disinfecting strip on the suture and fixes the outside of the cheek with elastic band. After that patients get transferred to the ward.

Usually on the same day patients can return home.

Sutures are removed in 5-8 days after surgery.

After surgery

  1. Swelling and soreness

    • Once the anesthesia is gone, you may feel that your cheeks become very tight and sensitive. The pain is usually not very pronounced and can easy be carried out , in worse cases you can reduce pain by taking regular painkillers.

    • On the first 3 days you may notice that your cheeks become bigger than they were before the surgery - this is a normal post-operative aspect. The swelling will gradually decrease. The first result will be noticeable after a couple of weeks, but the final result will be clear only in 4-5 months.
       

  2. Food

    • on the first days it is required to follow liquid diet.

    • It very important to be very careful in selecting food in the first two weeks. All fresh fruits and vegetables must be thoroughly washed. Forget about eating raw or salted fish; try to eliminate meat and other foods that are favorable for the bacteria. Such food increases the risk of infection in the surgical wound.

    • Avoid food that requires hard chewing.
       

  3. Medicine

    • It is necessary to take antibiotics, anti-inflammatory and antiallergic pills prescribed by the doctor.

    • Be sure to rinse your mouth after each meal with aseptic liquids.
       

  4. General Recommendations

    • On the first few days it is necessary to use high pillow to sleep and sleep only on the back.

    • Limit your contact with children and animals, which may injure the operated area.

    • It is allowed to use a toothbrush and floss only on the next day after surgery, but cleaning the mouth in the operated area must be done very carefully.
       

  5. The duration of rehabilitation period

    • The first 3-5 days after surgery should be spent at home.

    • If your work involves physical labor or long conversations, it is better to stay at home for up to two weeks .

    • Physical activity, weight lifting should be avoided in the first two weeks.

    • You can return to your sport activities only in a few months.

 

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