The Open Dentistry Journal

ISSN: 1874-2106 ― Volume 15, 2021

Post-Operative Evaluation of the Intra-Oral Buccal Fat Pad Removal Technique: A Prospective Study

Caio Roman-Torres1, *, Nilton R.A.P. Domingues1, Angelica C. Pimentel1, Heloisa F. Marão1, Wilson R. Sendyk1
1 Department of Dentistry, University Santo Amaro/UNISA, São Paulo, Brazil



In recent years, the number of procedures for buccal fat pad removal has increased. In cases of thinning of the face, bite injuries or bruxism, partial removal of the corpuscle is performed, always taking into account facial harmonization.


The aim of the present study was to demonstrate the post-operative procedure of the removal of the BFP by pain parameters, mouth opening and presence of edema. This longitudinal cohort study was registered in clinical trials and all participants had access to the informed consent form.


Forty BFP removal surgeries were performed with the technique of intraoral access. After the bichectomy procedure, the individuals were followed for 4, 7, 10, 15, 30, and 90 days. Visual pain scale, mouth opening measurements and clinical visual assessment were performed at all times.


We observed that the presence of edema and limited mouth opening for about 15 days were the changes most commonly found in surgeries performed. The results showed a significant decrease in painful symptoms after 15 days, regarding mouth opening, the results showed a return to normal levels after 30 days (p <0.05), the presence of edema ceased after 15 days.


We conclude that the BFP removal, when performed following a precise indication, properly and with the recommendations of post-operative care, followed correctly, promotes limitation in mouth opening and painful symptoms by 15 days.

The procedure is becoming a new area for the dental surgeon, who can perform the procedure safely, reliably and with aesthetic and therapeutic results.

Keywords: White adipose tissue, Mucosa buccal, Regional anatomy, Buccal fat pad, Anatomical structures, Intraoral resection.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 324
Last Page: 328
Publisher Id: TODENTJ-14-324
DOI: 10.2174/1874210602014010324

Article History:

Received Date: 16/03/2020
Revision Received Date: 16/04/2020
Acceptance Date: 23/04/2020
Electronic publication date: 29/06/2020
Collection year: 2020

© 2020 Roman-Torres et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Correspondence: Address correspondence to this author at the Department of Dentistry, University Santo Amaro/UNISA, São Paulo, SP, Brazil; Tel: +55 11 21418555; E-mail:

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