Buccal Fat Pad Augmentation for Facial Rejuvenation

Abstract

The buccal space, with its fat pad, is a valuable, overlooked target in facial rejuvenation procedures. The authors identified a specific group of patients who have normal or prominent malar projection in the presence of atrophy of the buccal fat pad, with or without prominent gonial angles. Eight of 24 prospectively studied patients (Biomedical Research Institute of America) who had fat grafts and face lifts received an average of 2.7 ml of fat transferred into the buccal space. Immediate visual correction of the buccal depression was noted. No overcorrection was carried out. None of the eight patients suffered an adverse event from transoral buccal space fat grafting. Persistent facial volume in this area has been noted up to 24 months after treatment. In patients with buccal fat pad atrophy, fat grafting into the buccal space can be safely performed through an intraoral approach.

Fat Grafting for Facial Rejuvenation

“…The buccal fat pad is an often-overlooked component to the youthful midface and should be complementarily reconstituted after malar augmentation to prevent a hollowed appearance. 12,14 Lower Third Primary features of the lower third of the face include the nasolabial fold, labiomandibular fold (marionette lines), prejowl sulcus (geniomandibular groove), labiomental sulcus, lips, and chin. Deepening of the nasolabial fold occurs with deflation of the cheek.…”

Clinical significance of the buccal fat pad: how to determine the correct surgical indications based on preoperative analysis

“…On the contrary, given the fuller appearance of the young face, it has recently been suggested that lipofilling is performed to enhance BFP fullness during face lifting procedures. 11 As such, the appropriateness of BFP procedures should be determined on a case-by-case basis, depending on the particular age-associated changes observed in a given patient.…”

Intraoperative Strategies for Minimal Manipulation of Autologous Adipose Tissue for Cell- and Tissue-Based Therapies: Concise Review

“…The technique begins with a specific topographical facial assessment for all areas of volume loss and contour deficiencies; then these areas can be treated using two to three different size and types of fat grafts. One is a millifat parcel of 1.5 to 2.0 mm used for deep compartment and bone losses; the second, a microfat parcel of 1.0 mm, used for superficial fat losses above the facial musculature and in buccal fat pad if deficiency exists ; and the third is a cellular optimized nanofat made with LipocubeNano. Nanofat is administered in the ITR 2 using several methods including syringe delivery, automated delivery, microneedling with a variety of devices, and compounding the nanofat into a unique nanofat biocreme.…”