Many people think a lot about the appearance of their face. Some people think that their cheeks are a bit fat, that is, too "chubby". Because of this, some people do not like the round appearance of their face. So if you are also one of those who are thinking about something like this, today we are going to talk about a cosmetic surgery that can be done as a solution to this.
What is Buccal Fat Removal?
Simply put, this means surgically removing a portion of the fat in your cheeks. We call this fat 'Buccal Fat'. It's located between your cheekbones and your lower jawbone. This layer of fat is one of the factors that helps determine the shape of your face.
We all have this fat in our cheeks. But some people may have a little more of it. So this surgery removes that extra fat and highlights the facial bone structure, especially the cheekbones. This gives the face a clearer, more defined look. Some people also call this 'cheek reduction surgery'.
The most important thing is that since this is plastic surgery, this decision is yours to make. Only consider this if you truly want to change your appearance, not because someone else wants you to. Also, it is very important to understand both the benefits and risks of surgery before making a decision.
Who is this surgery best suited for?
If you don't like the round appearance of your face due to the fullness of your cheeks, you may want to consider this surgery.
In general, to be considered for this surgery, the following criteria must be met:
- You don't like the full, chubby look of your cheeks.
- You are in good health, with no other major illnesses.
- Your body weight remains stable.
However, this may not be a good option for some people . For example, if your face is naturally narrow, this surgery may not be suitable. Also, it is less recommended for older people. This is because as we age, our facial fat naturally decreases . If this surgery is performed at such a time, the face may become too thin in the future and look older.
This surgery is usually performed by a doctor who has received special training in plastic surgery.
What happens before the surgery?
Before the surgery, you will need to meet with your doctor. There, the doctor will explain to you everything you can expect from the surgery, as well as what will happen during and after the surgery.
During this appointment, the doctor will examine your face and probably take some photographs. He or she will also ask about your general health, family medical history, and any previous surgeries you have had. He or she will also measure your blood pressure. It is important to tell your doctor about any medications you are currently taking (even vitamins and herbal remedies) . For best results, your doctor may also ask you to stop smoking before surgery.
At this time, you can ask any questions you have and clear your doubts.
What happens during the surgery?
This surgery can be done in a hospital or in the doctor's office. You can go home the same day after the surgery.
During the surgery, these things happen:
- First, you will be given a local anesthetic to numb the skin on your face. You will not feel any pain, but you will be conscious. If you are having several other surgeries at the same time, you may be given general anesthesia . If this is the case, your doctor will tell you to arrange a ride home afterward.
- Next, the plastic surgeon will make a small incision inside your mouth, on either side of your cheeks. This is done to remove the layer of 'buccal fat' we mentioned.
- Then, the doctor presses on that layer of fat, lifts it up further, and cuts it out.
- Finally, the incisions are closed with dissolvable sutures. Sometimes the doctor will ask you if you need to come back to have these stitches removed.
What to expect after surgery?
After surgery, your doctor will give you instructions on how to care for your incisions. You may also be given a special mouthwash to help the incisions heal quickly and prevent infection. You will need to eat a liquid diet for a day or two until the incisions begin to heal. After that, you can gradually start eating soft foods, as directed by your doctor.
| What to expect after surgery | |
|---|---|
| Swelling | The cheek area may swell. |
| Bruises | Blue/purple bruises may occur on the skin. |
| Numbness | You may feel a tingling sensation around the incisions. |
These symptoms will gradually disappear as your body heals. It usually takes about three weeks to heal. However, it may take several months to see the final results .
What are the risks of this surgery?
As with any surgery, there are some risks involved. It is important to discuss these risks with your doctor and be fully informed before making a decision.
| Risk type | Description |
|---|---|
| Infection | Chance of infection at the incision site. |
| Damage to nerves or salivary glands | There is a small risk of damage to the facial nerves or the ducts of the salivary glands. |
| Numbness or change in sensation | Prolonged numbness or changes in sensation after surgery. |
| Asymmetry of results | The appearance of the two cheeks is not the same. |
When should you see a doctor?
Buccal fat removal surgery is generally safe. However, if you experience any of the following, call your doctor immediately .
- If there is heavy bleeding that cannot be stopped.
- If there are signs of infection (fever, redness, pus, warmth to the touch).
- If the results seem asymmetric or if the wounds are not healing properly.
- If you experience an unusual taste in your mouth or suspect damage to your salivary glands.
Although very rare, if you experience the following severe symptoms, go to the nearest hospital Emergency Department (ETU) immediately: difficulty breathing, chest pain, abnormal heartbeat.
Take-Home Message
- Buccal fat removal is a very personal decision to change your appearance.
- This is best suited for people with full cheeks and a round face. It is not suitable for people with narrow faces or those who are older.
- Since the incision during the surgery is made inside the mouth, there are no visible scars on the face.
- It takes several months to see the full, final results after surgery, so be patient.
- Before making any decision, discuss the pros, cons, and all risks of this surgery with your doctor to gain a clear understanding.
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