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GENERAL INFORMATION
Buccal fat excision from an intraoral approach, either alone or in combination with submental liposuction is an excellent corrective technique for patients with disproportionate facial fullness. Procedure is designed to slim and contour the face.
THE ANESTHESIA
Buccal fat excision surgery is performed under a "light" general anesthetic (patient is asleep). This technique provides excellent operating conditions while affording maximal patient comfort and safety. The anesthetic is administered by a board certified doctor anesthesiologist who remains in attendance throughout the operation. All of the required monitoring, anesthetic delivery and emergency equipment are present at all times. Further information, including any questions you may have, will be explained and discussed fully by our anesthesiologist prior to your surgery.
PRE-OPERATIVE PREPARATIONS
You must be in good health to undergo any elective cosmetic surgery. A physical
examination and routine lab work will need to be performed by your own primary
physician. If you do not have a primary doctor, we can refer you to local
doctors in our area. We do not provide these services. It will be required
that all this pre-op paperwork is in our office 1-2 weeks prior
to surgery.
It is very important that our office is aware of any medical conditions and all medications you are taking.
It is imperative that you not smoke 2 weeks prior to surgery, and 2 weeks after surgery. This would impede your healing greatly. Talk to us about options.
It is a required that someone drive you home upon your discharge. Also arrange for transportation to and from our office for your post-operative appointments until your doctor gives you permission to drive.
DO NOT take aspirin or aspirin-containing products for 2 weeks prior to surgery and for 2 weeks after surgery.
An adequate diet with vitamin supplements, especially Vitamin C, is recommended. You should be in the best nutritional state possible prior to surgery.
If you will be preparing your own meals at home after surgery, have on hand easy to prepare foods. A soft diet, such as mashed potatoes, yogurt, applesauce, soups, Jell-O are helpful the first 24-48 hours after surgery.
THE SURGICAL PROCEDURE
Excision of Buccal fat is rapidly and safely accomplished through a half- inch incision inside the mouth, where the upper gum meets the cheek. The operation should be absolutely bloodless, and usually takes less than one hour. The incisions are closed with dissolving sutures. There are no visible stitches.
POSSIBLE COMPLICATIONS
Asymmetry
Nerve Damage
Sunken appearance over time
WHAT TO EXPECT AFTER SURGERY
DRESSING- A chin strap with foam padding will be worn immediately
after surgery.
SWELLING- during the first two days is normal, usually
minimal, and will subside.
DISCOMFORT- pain medication is prescribed should always
be taken with food.
POST OPERATIVE CARE
Wearing the chinstrap with foam padding is required for the first 72 hrs, and then you may shower, and discard the padding. Continue wearing chinstrap for an additional week, or as advised by Dr. Moelleken.
It is important to sleep on your back, with your head elevated.
This will reduce some swelling.
AS WITH ANY FACIAL SURGERY, AVOID BENDING FORWARD, AS THIS CREATES
STRAIN ON ALL INCISIONS THAT ARE HEALING.
Eat easy to chew foods (soft foods) for the first couple of days.
Avoid excess taking, as this may cause discomfort.
Rinse carefully with salt-water after every meal.
Any dissolving stitches that remain may be clipped after 4-5 days.
RESUMPTION OF PHYSICAL ACTIVITIES
GENERAL RULES OF THUMB
TWO, FOUR, SIX RULE
FIRST WEEK: TAKE IT EASY!!! PATIENTS WHO ARE TOO VIGOROUS
FREQUENTLY DEVELOP COMPLICATIONS!
At two weeks: take long walks on a flat surface. No other
kind of workouts. Any activity that would raise your blood pressure would
compromise the healing incisions and newly developing blood supply.
At four weeks: light exercise such as aerobics, but no weight training.
Start light. For example, if you normally do 30 minutes on a treadmill,
begin with 15 minutes, then increase as your body gets used to things.
At six weeks: resume all previous activities with clearance from
Dr. Moelleken.
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BEFORE
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AFTER
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Nose, Buccal Fat, Submental Liposuction.
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BEFORE
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AFTER
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Nose, Buccal Fat, Submental Liposuction.
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BEFORE
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AFTER
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Chin Implant, Submental Liposuction, Buccal Fat Pad Removal.
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BEFORE
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AFTER
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Chin Implant, Submental Liposuction, Buccal Fat Pad Removal.
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BEFORE
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AFTER
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Face and Necklift, Corset Platysmaplasty
with Submental Liposuction.
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BEFORE
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AFTER
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Face and Necklift, Corset Platysmaplasty
with Submental Liposuction.
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BEFORE
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AFTER
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Face and Necklift, Corset Platysmaplasty with Submental Liposuction, Upper Blepharoplasty.
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BEFORE
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AFTER
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Face and Necklift, Corset Platysmaplasty with Submental Liposuction, Upper Blepharoplasty.
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BEFORE
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AFTER
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Thirty-seven year old male before and after Submental Liposuction and Buccal Fat Excision.
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BEFORE
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AFTER
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Thirty-seven year old male before and after Submental Liposuction and Buccal Fat Excision.
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BEFORE
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AFTER
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Nose, Chin Implant, Submental Liposuction.
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BEFORE
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AFTER
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Nose, Chin Implant, Submental Liposuction.
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BEFORE
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AFTER
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Face and Necklift including Cheeklift with Canthopexy, LiveFill to nasolabial folds and marionette lines, Buccal Fat Pad Excision, Upper Bleparoplasty, Minimally invasive Temporal/Anterior Hairline Lateral Browlift, Rhinoplasty with Tip Plasty and right External Nasal Valvuloplasty.
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BEFORE
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AFTER
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Bilateral cheek lift, Bilateral Canthopexy, Removal of infraorbital fat with replacement of hollow regions with LiveFill™ graft, Upper Blepharoplasty,
minimally invasive Central Muscle Resection, Submental Liposuction.
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BEFORE
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AFTER
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Bilateral cheek lift, Bilateral Canthopexy, Removal of infraorbital fat
with replacement of hollow regions with LiveFill™ graft, Upper Blepharoplasty,
minimally invasive Central Muscle Resection, Submental Liposuction.
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BEFORE
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AFTER
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Face and Necklift, Full Face Resurfacing with CO2 Laser including
feathering in posterior neck region, Left Lateral Upper Blepharoplasty.
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BEFORE
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AFTER
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Face and Necklift, Full Face Resurfacing with CO2 Laser including
feathering in posterior neck region, Left Lateral Upper Blepharoplasty.
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BEFORE
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AFTER
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Face and necklift, Cheeklift with Canthopexy and Lateral Canthal Elevation, LiveFill to nasiolabial folds and marionette lines, Buccal Fat Pad Excision, Upper Blepharoplasty, minimally invasive Browlift, and Rhinoplasty.
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BEFORE
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AFTER
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Face and necklift, Cheeklift with Canthopexy and Lateral Canthal Elevation, LiveFill to nasiolabial folds and marionette lines, Buccal Fat Pad Excision, Upper Blepharoplasty, minimally invasive Browlift, and Rhinoplasty.
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