19th International Congress of the Association of Oral and Maxillofacial Surgery Society (ACBİD), Antalya, Türkiye, 8 - 12 Nisan 2026, ss.259-260, (Özet Bildiri)
Objective: The buccal fat pad (Bichat’s fat pad) is a deep facial fat compartment contributing to midand
lower-face volume. Intraoral buccal fat pad excision is a minimally invasive aesthetic procedure
performed to enhance lower facial contour.
Case: A 28-year-old female patient presented with complaints of bilateral cheek fullness. She had no
systemic disease. Clinical examination revealed prominent lower facial fullness. An intraoral approach
was performed under local anesthesia. A 1–1.5 cm mucosal incision was made opposite the maxillary
second molar region. Blunt dissection through the buccinator muscle fibers exposed the buccal fat
pad. Controlled and conservative bilateral excision was carried out. Hemostasis was achieved and the
incision was closed with resorbable sutures. No postoperative complications occurred.
Conclusion: Intraoral buccal fat pad excision is a safe and predictable lower facial contouring procedure
when performed with proper patient selection and meticulous surgical technique.