Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with concerns regarding persistent lower facial fullness and a "rounded" or "chubby" appearance despite stable body weight. Reports dissatisfaction with facial contouring, noting a lack of definition in the sub-malar region. Denies recent weight fluctuations, dental pathology, or parotid gland swelling.
Clinical Examination Findings
Facial examination reveals bilateral prominence of the buccal fat pads, most evident in the sub-malar space. Intraoral palpation confirms soft, mobile, non-tender adipose tissue deep to the buccinator muscle. No evidence of parotid hypertrophy, masseteric hypertrophy, or lymphadenopathy. Skin turgor is normal; no signs of facial asymmetry or structural skeletal abnormalities.
Treatment Protocol
Recommended treatment is a bilateral buccal fat pad excision (buccal lipectomy) performed via intraoral approach. Procedure involves a small mucosal incision, blunt dissection through the buccinator muscle, and controlled delivery and resection of the buccal fat pad. Hemostasis achieved; closure with absorbable sutures. Post-operative care includes ice application, soft diet, and chlorhexidine oral rinses.