The larger problem with buccal fat removal is that it could create a gaunt look as a person ages. That last part is important, not just for surgical safety but aesthetically as well. Depending on your surgeon's consult, you may opt for a buccal fat reduction versus a full removal — this is crucial for anyone who already has a particularly angular or thin facial profile. This buccal fat removal process is a process that helps remove this fat from the buccal region. You may be required to stick to a liquid diet during this period, and may also need to use prescribed oral rinses daily to avoid infection inside the mouth, per ASPS. As with any cosmetic surgery, there are significant pros and cons to the procedure. Everything You Should Know About Chin Fillers. Savetsky and Rohrich were two of several authors of a 2021 paper on buccal fat's role in facial surgeries where they noted an increase in people requesting the procedure, writing that "social media have triggered a buccal fat pad excision frenzy." Additionally, if you already have a thin or particularly angular face, buccal fat removal isn't recommended as results may leave you looking gaunt, worn, or older than you are. “He also ended up being less expensive.”. By reviewing dozens of before and afters from just one expert-level buccal fat removal surgeon, you’ll get a sense of how consistent their work is. Michael J. "Removing fat at any phase in your life is usually not a good idea. While it's safe to say most patients are happy with their results, one of the risks of buccal fat removal—and all plastic surgery, really—is that you just don't know how it will look on your aged face until you're actually that age. ", The entire procedure can take 30 minutes or less with swelling gone in around two weeks with zero visible scarring. . The relatively simple surgery removes fat from the middle of the cheeks, below the cheekbone, via an incision inside the mouth. Before buccal fat removal, patients must have a consultation with a board-certified plastic surgeon. Asymmetry, or removing more on one cheek than the other, is also a concern. Think: Bella Hadid, whose picture often pops up as inspiration for the look. Here's how it works. While that extreme makeup trend has waned, buccal fat removal provides a comparable (if not subtler) and permanent result. Procedure Overview Concerns Ideal Candidate Recovery Side Effects Results Average Cost Pros Permanent Slimmer Face Cons Asymmetry Possible Revision Surgery Invasiveness Score mild moderate severe 1 2 3 4 5 10 Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure. “That cheek goes from full and bright, in the buccal area, to either flat or slightly concave and dark,” says Dr. Nayak of a good result. In fact, the journal Plastic and Reconstructive Surgery published a study in August 2021 to warn overzealous doctors. A practical way you can decide whether to undergo buccal fat removal or not is to spend some time looking at before and after photos of patients who have had the procedure done. Although the volume or position of buccal fat may change over time, says Sharaf, there are also many other factors that contribute to facial aging, such as movement of the facial muscles and the skin. The results vary, but they almost always come with defined cheek hollows that almost look the way they would if you were puckering your lips or blowing a whistle. Photo editing makes it easy to cover a multitude of surgical sins, even if a provider is not explicitly trying to alter the look of their results but rather create a more balanced image. The most common way to remove buccal fat is through the inside the mouth because it is scarless, Roostaeian adds. concierge@nazarianplasticsurgery.com. Center for Advanced Facial Plastic Surgery. This patient underwent a Endoscopic Brow lift with a Deep Plane Facelift and the Buccal Fat Pad Removal. Most candidates feel they have an excess of fat in their face, or an especially round or babylike face, and want more definition. November 18, 2021 TZR/ Getty Images Buccal fat removal (or "buccal fat pad excision") is a cheek contouring plastic surgery that has grown increasingly buzzy in recent years, leading to a boom in questions about cost, risks, and before and after photos. But any plastic surgery can go too far. “I didn't really notice them dissolving but the tissue stayed hardened throughout the healing process. / CBS News. This is especially crucial to consider as you age, given that it's expected for bone structures to become pronounced naturally over time. Many surgeons do this by performing buccal fat removal alongside a few other targeted treatments, including facial fillers, which can be done in sessions leading up to a buccal fat removal surgery. Join The Zoe Report’s exclusive email list for the latest trends, shopping guides, celebrity style, and more. Buccal fat removal before and after. “I did that Dr. Diamond buccal fat removal thing here,” she said, referring to Beverly Hills plastic surgeon Dr. Jason Diamond, MD, whose celeb patients include January Jones, Kourtney Kardashian, and Amber Valletta. “Instead of the balance of the face resting at the plane between your top and bottom teeth, it’s now resting at the cheekbone, just under the eyes, causing the point of maximum focus of the face to go up.” For this reason, Dr. Nayak commonly performs buccal fat removal as part of a facial fat rebalancing procedure, widening the top part of the cheek to create a more harmonious look to the face. This cosmetic surgery — which isn't usually covered by insurance and can cost between $3,000 and $8,000, though costs vary widely per provider according to the American Society of Plastic Surgeons (ASPS) — isn't considered painful, says Dr. Vasyukevich. But buccal fat removal surgery's results are often subtle, and can make a person look gaunt as they age. While we do connect people with vetted, board-certified doctors, we don’t provide medical consultations, diagnosis, or advice. (Never feel pressured to book a procedure. The conceit is simple: By removing the pads of fat in your mid-cheek area (called buccal fat pads), you can reveal a slimmer and more contoured face. "I did that Dr. Diamond buccal fat removal thing here," Teigen said on Instagram, pointing to the hollow space beneath her cheekbone. Fox on the injuries he's suffered from Parkinson's disease, Threat of pathogen with "even deadlier potential remains," WHO chief warns. Right now, it’s all about removing buccal fat from the face. "The buccal fat pad becomes only prominent when patients have very round faces that — due to excessive buccal fat or aging, likely in genetic factors — results in a lower-positioned buccal fat pad that slides down to the jawline, rather than the corner of the mouth," Dr. Azzizadeh explains. Other doctors also often add volume to the apples of the cheeks with a hyaluronic acid-based filler or fat grafting in conjunction with buccal fat removal to enhance the results. "The buccal fat pad is a fairly static structure in our face," he explains. Deep Plane Facelift / Modified Endoscopic Browlift / Lower Blepharoplasty/ Buccal Fat Pad Removal / Upper Lip Lift / Obagi Blue Peel By clicking “Accept All Cookies”, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. Sign up for notifications from Insider! This is especially true for someone who may wish to lose weight in the months and years following the surgery, as those who lose significant weight afterward "may look more hallowed out than someone else who has done the procedure," Dr. Vasyukevich adds. He does this without removing and processing the fat, which is the process for fat grafting—it all happens at once through the same oral incision. The size and shape of the buccal fat pads varies between individuals, and is responsible for creating the contours below the cheekbones. What Can I Expect Before and After Buccal Fat Removal? For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. To ensure the lighting is consistent across both photos, Dr. Nayak suggests looking at the patient’s pupils. "If it's removed appropriately and suspended, which I often do alongside deep plane facelifts — as well as reposition buccal fat when I take it out through the gumline — patients should not see any significant looseness or laxity of skin.". The ensuing “sucked-in” look emphasizes the cheekbone and jawline (think: permanent Zoolander face). Most commonly, surgeons choose to remove targeted buccal fat through a small incision inside of your mouth — which leaves no visible scars on the exterior of your face. "So removing buccal fat when you are younger may create the illusion that you age quicker down the line.". To determine if you are a good candidate for the procedure Request a Consultation, Glamorous state of mind today đź’­ #TheModelSurgeon, 120 South Spalding Drive Suite 315 Los Angeles, CA 90212, (310) 773-3039 (310) 388-1002 This is sometimes referred to as the “cherub look,” Roostaeian adds. “You get the initial shot and once you’re numb you don’t feel anything except pushing and pulling.” The surgery itself can be completed in about 15 minutes. The American Society of Plastic Surgeons recommends avoiding anti-inflammatory drugs like Aspirin or herbal supplements in preparation for buccal fat removal, as they can increase bleeding. By removing some of the fat pad in this part of the cheek, the area “goes from convex to concave.” While not everyone is a candidate for this procedure, those with naturally fuller faces—like Chrissy Teigen, who got buccal fat removal some time ago—may see a significant difference in their facial balance. Think: Bella Hadid, whose picture often pops up as inspiration for the look. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. Experts weigh in. As with any plastic surgery, cost should be just one of many factors to consider before undergoing the elective procedure. Getting more than one consult for a buccal fat removal procedure isn't a bad idea, as this procedure is permanent — and while Dr. Vasyukevich indicates that facial fillers may reverse the unnatural look of a full buccal fat pad being removed, this route is extremely costly and requires upkeep. We Asked Plastic Surgeons, A Deep Dive Into Gen Z’s Relationship With Cosmetic Procedures, Body Contouring Can Help Sculpt Your Body After Weight Loss—Here's How, Everything You Need to Know About Erbium Laser Resurfacing, Liposculpture Is "High-Definition Liposuction"—Here's What You Need to Know, Lip Filler Aftercare: Essential Tips and What to Avoid. These can be found . While aesthetic options like face filler may help reverse this effect as you age, hollowing out your cheeks while you are young may preemptively introduce the need for such actions. This increases overall contour with less fat loss. .css-lwn4i5{display:block;font-family:Neutra,Helvetica,Arial,Sans-serif;font-weight:bold;letter-spacing:-0.01rem;margin-bottom:0;margin-top:0;text-align:center;-webkit-text-decoration:none;text-decoration:none;}@media (any-hover: hover){.css-lwn4i5:hover{color:link-hover;}}@media(max-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 40.625rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 48rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}@media(min-width: 64rem){.css-lwn4i5{font-size:1.375rem;line-height:1.1;}}Your Avocado Oil Is Probably Rancid, New Guidance on Sugar Substitutes and Weight Loss, 20 Scientifically Proven Ways to to Relieve Stress, 13 Ways Watermelon Can Supercharge Your Health, 24 Ways to Ease Bloating and Get a "Flat" Stomach, Study Shows Gardening May Support A Healthy Heart. These are fat pads that help make the shape of the face. Meaning, some people will naturally be predisposed to have more buccal fat than others; their faces appear rounder or fuller than others. A cosmetic surgery procedure called buccal fat removal is one of the most-requested facial cosmetic procedures to emerge over the past few years, inspired in large part by celebrities rumored to have undergone the surgery themselves. The popularity of 30-second TikToks and Instagram shots showing buccal fat before-and-afters may make the procedure look more casual than it really is. And if you've scrolled through their Instagram comments full of compliments and questions about their new look only to see lots of "it's just contour :)" but are thinking it looks a little more permanent than makeup, you're definitely not alone. He adds that it’s critical for surgeons to do a comprehensive facial analysis to determine if buccal fat removal will achieve the results or change in facial appearance a patient is looking for. ... And it's hard to put it back in. So what is buccal fat removal exactly? "Fat is very precious in the face," said Rohrich. Older individuals may notice the fat in their cheeks change shape and sag, a normal transition for most as they age, says Babak Azizzadeh, M.D., FACS, a board-certified facial plastic surgeon who serves as director of Beverly Hills' Center for Advanced Facial Plastic Surgery and board member of the American Academy of Facial Plastic & Reconstructive Surgery. Caroline Kee is a health reporter at TODAY based in New York City. Buccal fat is a naturally-occurring fat pad located under the cheekbone and between the facial muscles, says Sharaf. Cosmetic surgery, not unlike fashion, is constantly seeing updates and developments. This year, the buzzword is Ozempic. For this reason, it's very difficult to change the amount of buccal fat you have naturally, the experts note. On the day, I was put on local anesthetic and the doctor cut a hole inside my cheek. Because people naturally lose fat as they age, "what looks good at 20 or 30 may not look good at 50 or 60," Savetsky said. You'll be given a special mouthwash to prevent infection and though a liquid diet is required for about a week, you'll be able to resume almost all of your usual activities the next day. But the goal is not to overdo it in the first place. After all, “just about any surgeon can hit a home run every once in a while,” Dr. Karam points out. This patient had the Buccal Fat Pads removed, located in the cheeks. Buccal fat (pronounced like "buckle") is basically the medical term for cheek fat, Dr. Basel Sharaf, practice chair of the Center for Aesthetic Medicine & Surgery at the Mayo Clinic, tells TODAY.com. A formal way of referring to facial fat that makes up full cheeks, buccal fat pads are a feature that every person has in some way, shape or form, explains New York-based Konstantin. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Consistently good outcomes A good before photo will show that fuller look, then [the after photo will] portray a face that is more top heavy. Buccal Fat Removal Before and After Photos Actual patients of Ennis Plastic Surgery in Boca Raton, FL. Beverly Hills plastic surgeon Dr. Babak Azizzadeh, MD believes surgeons and patients just became more interested in buccal fat in the last decade as injectables brought more awareness to facial contouring. TODAY is live 7am-9am for all Peacock subscribers on PeacockTV.com. The best way to avoid this risk is to seek out a certified, licensed plastic surgeon who will work to ensure remaining buccal fat is proportional to your jawline. ‘Try on’ aesthetic procedures and instantly visualize possible results with AEDIT and our patented 3D aesthetic simulator. Working to establish good communication with your surgeon is key before making any decisions to undergo surgery. These will fade with time. “A lot of aging is you’re seeing the underlying bony or muscular anatomy ... because your (face) is getting more hollowed out, which all has to do with losing fat as you age,” says Roostaeian. By clicking ‘Sign up’, you agree to receive marketing emails from Insider “Maybe it looks good in your 20s, but when you get to be 40 and 50, you might look older than the person that didn’t do that procedure,” says Bethesda, Maryland plastic surgeon Dr. Jennifer Porter, MD, who has seen a noticeable uptick in people asking for the procedure by name. Buccal fat pads are different from the fat in the rest of the face or body. “I recently had a 25-year-old who had buccal fat reduction with another doctor and now she’s complaining about jowling — she essentially needs a facelift,” says Dr. Diamond, who is seeing more botched buccal fat excisions in his practice. © Nazarian Plastic Surgery. When the surgery is overdone, it could mean that a very large amount of the fat pad was removed, says Sharaf, which can potentially change the face or fullness of the cheeks in a way that looks very obvious or creates a hollowed out look. Swelling, bruising, and discomfort will diminish over a week or two, although swelling can persist for up to four months. The procedure has become increasingly popular in the United States — the number of buccal fat removals actually increased by nearly 70% in 2021, TODAY previously reported. Buccal fat removal lasts forever, so it's important to follow all of the aftercare instructions to ensure a smooth recovery. The best candidates for the buccal fat removal procedure are typically determined by a surgeon because “there are many factors that can cause the lower face to be wide, and buccal fat is only one of them,” Sharaf says. And what are the potential risks and rewards?We spoke to plastic surgery experts to find out. Some people actually photograph the lumps after they’ve been removed—they’re a golden yellow (the color of fat) and range from the size of a small walnut to as large as half a golf ball. "It's important to discuss expectations with the patient as to what they're trying to achieve and whether this procedure by itself can achieve what the patient is looking for," says Sharaf. "The size of the buccal fat pad varies from person to person and one cheek’s pad may be larger than the other," explains board-certified plastic surgeon Dr. Michael Horn. The possible risks of buccal fat removal surgery include, but are not limited to: Injury to branches of the facial nerve, resulting in temporary or permanent facial muscle weakness. The results of buccal fat removal on its own are also typically more subtle than clients are hoping for, Montague said. It can be performed under IV sedation or general anesthesia.". It’ll be the most accurate representation of what your result could look like. “I’d say the worst part of it, and it wasn’t even bad, was the tugging at the very end to make sure everything was out,” says Stevie. Learn more. "Social media is definitely a big factor," in this type of surgery's recent increase, Savetsky said. she shared she had undergone the procedure, experienced board-certified plastic surgeon, noted that there has been no long-term research, whose before and after photos were posted here. After flurry of recalls, are eye drops safe to use? The buccal fat pad extends from the temple down to the corner of the mouth — this surgery focuses on the “baby cheeks” area. $ . "I also perform buccal fat pad suspension and removal with my facelifts to further support the cheeks, and the face on reduced jowling," Dr. Azizzadeh adds. A cheek implant or fillers could create a more noticeably defined jaw. Most patients can expect to see swelling in their cheeks for at least 10 to 14 days, according to Dr. Azizzadeh. I spoke with Dr. Samuel J. Lin, MD, and board-certified plastic surgeon, about who's best suited for the procedure and who he advises against getting the surgery. But many doctors are concerned that interest in the procedure is predominantly among younger patients who have yet to see the natural facial hollowing that occurs with age. Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure. Patients do not have to remain overnight, as it is an outpatient procedure (though it is recommended "that patients have someone to remain with them at home the first night following surgery," Horn says). Buccal fat removal is a procedure to remove the fat pad or a portion of it from the face, the experts explain. “I definitely noticed [the sutures] but I only felt them when I moved my tongue to the side of my mouth,” says Stevie of the recovery process. "And the selfie era and just the era of photos, honestly. Possible side effects following a buccal fat removal include changes in sensation, prolonged swelling, nerve injury leading to muscle weakness, salivary duct injury, asymmetry, or need for revision surgery due to suboptimal results.
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