Wednesday, December 25, 2013

Facelift Surgery and The Herniated Buccal Fat Pad

Facelift Surgery and The Herniated Buccal Fat Pad

Location - Marin| Sonoma, California  -  The herniated buccal fat pad is one of the most common missed causes of the jowl.

The buccal fat pad is located in the cheek region just below the cheek bone in the mid face region.  This fat pad fills out the volume in the mid-face region.  As a person losses or gains weight it will fluctuate in size. Also, as one ages the volume reduces, naturally.  This fat pad can be as small as a grape or as large as a golf ball. 
In some people, either genetic or otherwise, the buccal fat pad can fall, descend or herniate inferiorly.  The location will be the small as the jowl and will add to the size of the jowl.  If this is not recognized and a facelift is performed the jowl will only be partially removed.  This sometime can be very difficult to diagnose and the cosmetic and plastic surgeon must always be looking for it's presence.
Right Buccal Fat Pad- Facelift surgery Of Marin and Sonoma County
Right Buccal Fat Pad
The buccal fat pad is most often removed from the inside of the mouth but can also be remover from the outside when the skin of the facelift is elevated and the SMAS layer exposed. I find the outside more difficult and risky since the facial nerves are in the area.

Right Buccal Fat Pad- Facelift surgery Of Marin and Sonoma County
Right Buccal Fat Pad being removed


Right Buccal Fat Pad- Facelift surgery Of Marin and Sonoma County
Right and Left Buccal Fat Pads
The most important aspect in facelift surgery is to recognize and diagnose the herniated fat pad to achieve a nice jawline.  Dr. Delgado is a facelift specialist and practices in Marin County, Sonoma County, Napa Valley and the greater San Francisco Bay Area since 1988.  Call Today 415-898-4161.