Articles Vol. 67 No. CĐ5-NCKH 04/05/2026

EFFICACY AND SAFETY OF INTRA-ORAL BUCCAL FAT PAD EXCISION FOR BILATERAL CHEEK SLIMMING

Nguyen Van Phung1,2
1 Department of Plastic and Aesthetic Surgery, School of Medicine and Pharmacy, Tra Vinh University
2 Bộ môn Phẫu thuật Tạo hình - Thẩm mỹ, Trường Y Dược, Trường Đại học Trà Vinh
DOI: 10.52163/yhc.v67iCD5.4979
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Keywords
Buccal fat pad, buccal fat pad excision.
Abstract

Objective: To evaluate the effectiveness and safety of buccal fat pad excision for bilateral cheek slimming.

Subjects and methods: A prospective, uncontrolled, clinical intervention study on 38 patients who wanted to reduce cheek fullness bilaterally, were re-examined and evaluated at 1 week, 1 month and 3 month after the surgery at The Gioi Dep aesthetic surgery clinic, Ho Chi Minh city from January 2022 to September 2025. Efficacy was evaluated by the survey of patient satisfaction on a 10-point scale and post-operative volume consideration of buccal fat pad by ultrasonography at 3 months after surgery. Safety was assessed by recording all adverse events and reactions at each visit.

Results: Patient satisfaction was relatively high with an average score of 8.5/10. The mean pre- and post-operative buccal fat pad volumes were 6.83 ± 0.40 mL and 4.84 ± 0.37 mL respectively. Only 4/38 patients experienced complications (10.53%). The most complication was heavy trismus in patients with severe swelling and pain, but this complication gradually subsided within an average of 10 days.

Conclusion: Intra-oral buccal fad pad excision resulted in good bilateral cheek contouring with high patient satisfaction and low complication rate.

References
[1]
Bassel Traboulsi-Garet et al. Buccal fat pad excision for cheek refinement: a systematic review. Med Oral Patol Oral Cir Bucal, 2021, 26 (4): e474-81. doi: 10.4317/medoral.24335. Google Scholar
[2]
Caio Roman-Torres et al. Post-operative evaluation of the intra-oral buccal fat pad removal technique: a prospective study. The Open Dentistry Journal, 2020, 14: 324-328. doi: 10.2174/1874210602014010324 Google Scholar
[3]
Fabiola Salgado-Chavarría et al. Buccal fat pad: anatomy and surgical techniques. A review of the literature. Rev Mex Cir Bucal Maxilofac, 2024, 20 (1): 17-24. Google Scholar
[4]
Xiao H, Bayramiçli M, Jackson I.T. Volumetric analysis of the buccal fat pad. European Journal of Plastic Surgery, 1999, 22: 177-181. Google Scholar
[5]
Marios Loukas, Theodoros Kapos et al. Gross anatomical, CT and MRI analyses of the buccal fat pad with special emphasis on volumetric variations. Surg Radiol Anat, 2006, 28: 254-260. Google Scholar
[6]
Matarasso A. Managing the buccal fat pad. Aesthet Surg J, 2006, 26 (3): 330-336. Google Scholar
[7]
Moura L.B, Spin J.R et al. Buccal fat pad removal to improve facial aesthetics: An established technique? Med Oral Patol Oral Cir Bucal, 2018, 23 (4): e478-84. Google Scholar
[8]
Natalia Cardona‐Gómez et al. Assessment of clinical and ultrasonographic parameters as indicators for buccal fat pad excision by esthetic reasons. Oral and Maxillofacial Surgery, 2022, 27 (7): 1-11. Google Scholar
[9]
Nicolas S, Paulina G, Salomon R et al. Submalar fat pad removal for esthetic purposes: A systematic approach Journal of Stomatology oral and Maxillofacial Surgery, 2022, 123: 587-591. Google Scholar
[10]
Sezgin B, Tatar S et al. The excision of the buccal fat pad for cheek refinement: volumetric considerations. Aesthetic Surg J, 2019, 39: 585-592. Google Scholar
[11]
Thomas M.K, D Silva J.A, Borole A.J. Facial sculpting: comprehensive approach for aesthetic correction of round face. Indian J Plast Surg, 2012, 45: 122-7. Google Scholar
[12]
Valencia L.C, Pérez G.F et al. Buccal fat pad excision: hydrodissection technique. Aesthetic Surg J, 2019, 39: 1037-45. Google Scholar