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Zygomatic Arch Liposuction for Facial Width Reduction

When trying to reduce facial fullness due to fat there are three procedures recognized to do so. Submental liposuction (neck), buccal lipectomies (upper/mid cheek) and perioral liposuction (lower cheek) have  been widely used with good clinical success. Because of the location of the facial nerve branches in the rest of the face liposuction is not Read More…

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 – Lateral Facial Liposuction

Liposuction is a well known method for fat removal that is mainly done on the body. The only facial area that is known to commonly undergo fat removal is in the neck, usually referred to as either submental, neck and jawline liposuction. But this is not really the face as defined by any location north Read More…

Technical Strategies – Cannula Size in Perioral Liposuction

Thinning the face by fat removal has limited surgical options. The buccal lipectomy procedure is the most well known as it removes a discrete collection of mid facial fat that usually approximates 3 to 4ccs in volume from each side. But the buccal lipectomy is not the only facial fat sculpting procedure. The perioral. region Read More…

The Overlooked Perioral Liposuction Procedure in Soft Tissue Cheek Reduction

The buccal lipectomy is the most well known soft tissue cheek reduction procedure. While it can provide effective reduction of fuller cheeks, the extent of its effect is frequently misunderstood or overstated. (leading to unfulfilled patient expectations) The effect of the buccal lipectomy is best understood by where it is positioned in the midface. Sandwiched 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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