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Buccal Lipectomy Complications and How To Avoid Them

The.most common facial defatting procedure, a buccal lipectomy, is seemingly a straight forward and effective procedure. But like all aesthetic surgeries there are downsides and errors with it. Common buccal lipectomy (buccal fat removal) errors can be divided into planning errors and technical surgical errors. Patient Selection Errors These are often the most significant misjudgements. Read More…

Perioral Liposuction vs Buccal Lipectomy – What Is The Difference

Perioral liposuction refers to very localized fat removal around the mouth region (“perioral” = around the oral opening). It is not a commonly named standalone cosmetic procedure in the way neck or abdominal liposuction is, but I have performed in hundreds of time by use small-cannula liposuction in selected areas around the lower face to Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Read More…

Reshaping the Round Face – Implant and Soft Tissue Reduction Strategies

For a round face, the goal is to shift from a circular, width-dominant shape to something more vertically defined and angular. With custom implants, you’re adding structure—but in round faces, soft tissue thickness is often the limiting factor, so reduction plays a bigger role than usual. Here’s how to think about the best combinations: Core Strategy for Round Read More…

Male Soft Tissue Cheek Reductions Case Study

Soft tissue cheek reduction refers to procedures that slim the soft-tissue volume of the cheeks (not the cheekbone itself) to create a leaner, more contoured facial appearance—often aiming to reduce “chubby,” “full,” or “puffy” cheeks. What tissue is being reduced? Primarily fat and soft tissue, not bone. The main targets are: Buccal fat pad (deep fat in the lower cheek) Read More…

Plastic Surgery Case Study – Male Custom Cheek and Jawline Implants with Cheek and Submental Lipectomies

 Background: Facial reshaping surgery most commonly involves modifications of the bones albeit augmentative or reductive. Masculinizing the face is typically augmentative in nature while facial feminization focuses mainly on reduction procedures. It is for this reason that facial masculinization almost always involves implants with a few exceptions such as the sliding genioplasty for chin augmentation Read More…

OR Snapshots – Buccal vs Abdominal Fat For Facial Fat Injections

Fat injections are a common method today for soft tissue augmentation whether it is for reconstructive or aesthetic purposes. An injection approach offers a versatile method of instilling a soft tissue graft in almost any anatomic location. How successful such fat injections are depends on a variety of factors from method of harvest and preparation Read More…

The Influence of Fat Dissolving Injections on Buccal Lipectomy Surgery

While the buccal lipectomy procedure is a straight forward surgical procedure with a limited recovery and is highly effective at its goal (removing a distinct facial fat area), some patient seek non-surgical methods for cheek fat reduction. Fat dissolving solutions such as dexoycholic acid and brand name Kybella have been used for facial fat treatments Read More…

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