Buccal fat is similar to orbital fat. Excessive removal will cause buccal depression, which is difficult to correct. Face-lifting surgery with buccal fat pad can be performed alone or simultaneously with other facial cosmetic operations, such as face and neck rhytidectomy, orthognathic and masseter hypertrophy resection, etc., in which the removal of buccal fat only plays an auxiliary role. When the preauricular incision and the facial and cervical flap are lifted, the operation can be performed through the extraoral incision. During the operation, the buccal fat pad was exposed at the front edge of the masseter muscle near the horizontal line of the mouth.
A conservative attitude should be adopted to remove the fat pad on the cheek and thin face. Sometimes we only need to remove1~ 2g of fat to achieve satisfactory surgical results. In the case of obvious fullness, 4 to 5 grams can be taken out unilaterally. Step by step, don't remove all the fat from the surgical incision.