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OR Snapshots – The Buccal Lipectomy Zone

 

The buccal fat pad is the only completely encapsulated fat collection in the face. Besides its capsule it is a unique piece of fat anatomy as it is a distinct pad that has a well identified vascular pedicle providing its main blood supply. Because it is an easily found and removed piece of facial anatomy with little consequence in doing so, it is a common aesthetic procedure. Removal of the main body of the buccal fat pad (buccal lipectomy) can a visible external facial change by reducing the fullness of the cheeks which can create better cheekbone highlights.

Buccal Lipectomy Dr Barry Eppley IndianapolisBut in facial derounding procedures the buccal lipectomy procedure is often misunderstood for where it creates it facial effects. Of the three aesthetic cheek zones influenced by fat (buccal, perioral mound and medial cheek), removal of buccal fad creates its effect just under the cheekbones. It does not go lower down to the mouth level and does not extend closer to the nose. Those are different fat zones which can also be treated. (perioral mound liposuction, medial cheek liposuction)

The best way to know what effect a buccal lipectomy will have on the face is by drawing specific horizontal and vertical lines. If a vertical line is drawn from the corner of the eye down the mouth corner and a horizontal line is drawn from the tragus of the ear to the mouth corner, the northwests section above the intersection of the lines is the buccal zone. This is where the fullness of the face will be reduced by a buccal lipectomy.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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