Buccal fat pad removal

The goal: in round faces we need to reduce subzygomatic region for a better OGEE line. The OGEE line defined by:

1. Highlight the zygoma and arch region
2. Slight sub-zygomatical shade.
3. Highlight of the lower mandibular line in a V shaped face

Mostly by buccal fat pad removal as a single procedure we do not reach our goal (OGEE definition). We need to combine the buccal fat pad removal with shaving of the bone at the lower border of the zygomatic arch and body.

The dissection of the buccal fat pad is through an intra-oral approach (an incision in the mouth).

Manual pressure to the exterior of the cheek pushes the buccal fat pad to the interior of the mouth, which permits gripping the pad with forceps. Once extracted from its place the required amount of tissue from the buccal fat pad is cut and removed to achieve the desired cheek reduction. The remainder of the buccal fat pad then is replaced to its anatomic site, and the incisions are sutured.

The procedure is also possible to combine with a shave of the lower part of the arch and body to get more dimpeling below the zygomatic arch and body.