Rubens Spin-Neto

Buccal fat pad removal to improve facial aesthetics: an established technique?

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Lucas-Borin Moura, Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, Dental School at Araraquara – UNESP – São Paulo State University, Brazil , Brasilien
  • José-Rodolfo Spin, Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, Dental School at Araraquara – UNESP – São Paulo State University, Brazil , Brasilien
  • R Spin-Neto
  • Valfrido-Antonio Pereira-Filho, Department of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery, Dental School at Araraquara – UNESP – São Paulo State University, Brazil, Brasilien

BACKGROUND: Buccal fat pad (BFP) is a singular structure between the facial muscles. Its removal may enhance the zygomatic prominences resulting in an inverted triangle of beauty.

OBJECTIVE: The aim of this study was to perform a systematic review of literature about BFP removal for facial aesthetic improvement. In order to answer the following research question: What are the indications, complication types and rates, surgical techniques and outcomes of the technique?

MATERIAL AND METHODS: The initial search in Pubmed, Scopus, and Cochrane databases recognized 220 articles. The final review included eight of them. None of the included studies were clinical trials.

RESULTS: BPF removal was performed by intraoral incision or associated with the face lift procedure. In 71 patients submitted to the procedure and evaluated about complications, only 8.45% presented minor complications. Parotid duct and facial nerve injuries were not found. No study evaluated facial aging and long-term effects, therefore the harmless effect of the procedure to those features is not clear.

CONCLUSIONS: Although it is not a novel procedure, there is a lack of information about long-term outcomes. Thus, controlled clinical studies should be performed to achieve adequate clinical evidence of those aspects.

OriginalsprogEngelsk
TidsskriftMedicina Oral, Patologia Oral y Cirugia Bucal
Vol/bind23
Nummer4
Sider (fra-til)e478-e484
Antal sider7
ISSN1698-4447
DOI
StatusUdgivet - 1 jul. 2018

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