Dr. Shervin Naderi demonstrates buccal fat pad removal, identifying anatomical landmarks and walking through the surgical technique. The procedure takes about 30 minutes, with men able to tolerate larger resections for sharper facial contours. He shows how careful handling and cauterization prevent complications.
Chapters
So we're doing a bichet fat pad, a buccal fat pad removal. Come on in here, you'll be able to see it really well if you zoom in there. So up here, it's the opening of Stenson's duct. Sometimes you can actually see saliva come out of it. It's under the protection of the retractor. We got the bite line right here, and this is the bichet fat pad. I'm going to show you both sides— it's pretty large. On men, you can definitely resect a little bit more, get them really nice and contoured. And it's out. We're gonna just basically go ahead and free it up. It's just simple, gentle teasing, and it comes right out. There's no yanking or pulling, very simple maneuvers. And you grab it, and then you just cauterize it. I'm going to compare the two sides, and if you actually go right here. See, like, very gentle teasing, very gentle teasing. Make sure there's nothing in there, and then we're going to cauterize and take it out. And then you can compare it to the other side. You can actually compare the two sides in a second. So here are the two pads. If you focus, you'll see these are the pads here. So this one was sitting right here. You can come over here and you kind of see where that was, right there. That's where that one was sitting. And then this one was sitting right there. So by taking these out, the cheeks are much more developed and he's gonna have more contour there. So that's quick and easy, less than an hour. It's about a half an hour procedure to do, quick recovery. So back up a little bit, Ashley. Show me first, show me talking. Let's go back.