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Plastic Surgery Case Study – Secondary Lower Facial Augmentation With Chin Implant Removal and Replacement With Custom Jawline Implant and Face/Neck Defatting

Background:  The most common historic and contemporary approach to lower facial augmentation is the chin implant. This is the first and oldest form of facial augmentation and the chin implant has undergone a variety of material and design innovations since its inception. Its popularity remains today as bringing forward the anterior projection of the lower Read More…

OR Snapshots – Buccal Lipectomy after LeFort I Osteotomy

The buccal lipectomy is a well known and popular cheek reshaping procedure. By removing part or all of this encapsulated fat pad the fullness of the cheeks is reduced creating a modest to moderate facial slimming effect. The buccal fat pad is a unique appearing fat with a bright yellow color, large lobules, a vascular Read More…

The Anatomic Explanation for the Underperforming Buccal Lipectomy

The buccal lipectomy is as well known procedure that is very popular and commonly done for soft tissue cheek contouring. It is a unique type of facial fat because is very localized and concentrated into a single fascial space. As a result it can be easily extracted through small intraoral incisions. But I do occasionally Read More…

The Role of the Buccinator Mucosal Myectomy in Soft Tissue Cheek Reduction

Soft tissue cheek reduction is most commonly associated with the well known buccal lipectomy procedure. Through an intraoral incision in the maxillary vestibule, the encapsulated buccal fat pas is accessed by passing through the upper fibers of the buccinator muscle. Once inside its capsule, the main body of the buccal fat pad is extracted after Read More…

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