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Buccal Fat Removal

The cheeks gain natural plumpness thanks to fat pads located in the mid-face, just below the cheekbones. In some situations, the plumpness of these fat pads, called buccal pads, gives the face too much roundness. Large buccal fat pads can create a “babyface” or chubby appearance that affects self-confidence. At our Lewisville office, board-certified plastic surgeon Dr. Stuart Lipton offers buccal fat removal for patients seeking to enjoy a more chiseled, elegant face.  Call 972-420-0023 today to schedule your personalized consultation!

What is Buccal Fat Removal?

“Chubby cheeks” is not a compliment pretty much anytime past infancy. However, many people retain this facial trait for their entire lives. Buccal fat pads are to blame. The removal of these pads, called bichectomy or buccal fat removal, is a quick procedure in which the fat pads are removed so the mid-face can take on a more chiseled, curved appearance. 

How Does the Buccal Fat Removal Procedure Work?

It may take 30 minutes to an hour to perform the buccal fat removal procedure. To begin, the doctor will mark the areas of your cheeks that will be targeted. The buccal fat pads sit in the hollows just below the bony part of the cheekbone called the “apple.” Due to the depth of the fat pads and the visibility of the cheeks, the doctor will remove them through incisions made inside the mouth. Before making incisions, the doctor will administer a local anesthetic to the inner cheek area. This is similar to getting injections for dental work, except your gums are untouched. Only your cheek needs to be numbed. You may also be given a sedative prior to your procedure. When you are numb, Dr. Lipton will make an incision in one side of your mouth. He will carefully extract the buccal fat pad in one piece and will close the incision. The same process will be done on the opposite side, and then your procedure is complete. The stitches that are placed to close the incisions will dissolve naturally over the course of a few weeks. 

Who is an Ideal Candidate for Buccal Fat Removal?

The buccal fat removal procedure is ideal for people whose faces appear full or bloated. The term that many of our patients use to describe their appearance is “chipmunk cheeks.” In addition to having this characteristic, you must also be in good health to safely undergo buccal fat removal. Dr. Lipton will perform a thorough consultation and examination with you, will answer your questions, and explain how the removal of buccal fat may improve your facial contours. If you smoke, you will need to quit several weeks before surgery. Due to the placement of incisions, you may also be advised to refrain from smoking for at least a few weeks after surgery as well. 

What is the Recovery Like After the Procedure?

Expect to have some swelling and bruising after your buccal fat removal procedure. You may gently apply an ice pack or take over-the-counter medication to reduce these side effects. You will also be given a prescription for antibiotics and pain medication, which you should take strictly as directed. To help your swelling and bruising resolve as quickly as possible, you can sleep with your head slightly elevated for a few nights. While your surgical incisions are healing, you’ll also need to eat softer foods like smoothies and soup. Usually, this restriction lasts only a day or two. Still, throughout the first week of recovery, you may want to avoid hard and crunchy foods. While you should refrain from engaging in strenuous activities for a full two weeks, you may be able to go back to work five to seven days after having buccal fat removal. 

How Long Will it Take to See My Results After the Procedure?

You may see a difference in the shape of your face right after your procedure. However, as natural swelling occurs, your initial results may become somewhat distorted for a short time. Usually, surgical swelling diminishes a lot in the two weeks after surgery. Once your swelling subsides, you will once again begin to see your new facial contours. The improvements can continue for up to four months. 

Is Buccal Fat Removal Painful?

Buccal fat removal does not hurt. Many people undergo this procedure with a shot of local anesthesia and a mild sedative. Depending on your treatment plan, Dr. Lipton may choose to perform your surgery using general anesthesia. You can discuss this with him during your consultation. In terms of post-operative pain, you can expect to feel sore or tender but not so much that you cannot resume light activities within about a week. 

Schedule A Consultation 

For more information regarding buccal fat removal and to learn if you would be a good candidate for this procedure, contact our office today at 972.420.0023. We are proud to serve Lewisville and surrounding areas in Texas.


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Stuart Lipton, MD
591 W Main St
Lewisville TX 75057
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