Moura L-B, Spin J-R, Spin-Neto R, Pereira-Filho V-A
Dental School at Araraquara - UNESP, Rua Humaita, 1680 - Araraquara - SP - Brazil, ZIP CODE: 14801-903,
Med Oral Patol Oral Cir Bucal. 2018 Jul 1;23(4):e478-e484. doi: 10.4317/medoral.22449.
Buccal fat pad (BFP) is a singular structure between the facial muscles. Its removal may enhance the zygomatic prominences resulting in an inverted triangle of beauty.
The aim of this study was to perform a systematic review of literature about BFP removal for facial aesthetic improvement. In order to answer the following research question: What are the indications, complication types and rates, surgical techniques and outcomes of the technique?
The initial search in Pubmed, Scopus, and Cochrane databases recognized 220 articles. The final review included eight of them. None of the included studies were clinical trials.
BPF removal was performed by intraoral incision or associated with the face lift procedure. In 71 patients submitted to the procedure and evaluated about complications, only 8.45% presented minor complications. Parotid duct and facial nerve injuries were not found. No study evaluated facial aging and long-term effects, therefore the harmless effect of the procedure to those features is not clear.
Although it is not a novel procedure, there is a lack of information about long-term outcomes. Thus, controlled clinical studies should be performed to achieve adequate clinical evidence of those aspects.
颊脂垫（BFP）是面部肌肉之间的一个独特结构。去除颊脂垫可提升颧骨突出度，形成倒三角形的美感。
本研究旨在对面部美学改善的颊脂垫去除相关文献进行系统综述。以回答以下研究问题：该技术的适应症、并发症类型及发生率、手术技术和效果如何？
在PubMed、Scopus和Cochrane数据库的初步检索共识别出220篇文章。最终纳入综述的有8篇。纳入的研究均非临床试验。
颊脂垫去除通过口内切口进行或与面部提升手术联合进行。在71例接受该手术并评估并发症的患者中，仅8.45%出现轻微并发症。未发现腮腺导管和面神经损伤。没有研究评估面部衰老和长期影响，因此该手术对这些特征的无害性尚不清楚。
尽管这并非一种新手术，但缺乏关于长期效果的信息。因此，应进行对照临床研究以获得这些方面的充分临床证据。
