Lesions of the Parotid Gland and Buccal Artery After Buccal Fat Pad Reduction

The significant increase in esthetic surgery, especially buccal fat pad reduction, has led to a corresponding increase in lesions and postoperatory after-effects from this surgical procedure. The aim of this study is to discuss the immediate and mediate risks of removing the Bichat ball, as well as describing a clinical study in which this surgical procedure resulted in lesions of the parotid gland and buccal artery, which was confirmed via nuclear magnetic resonance. The facial lesions were remedied via exploratory surgery by opening a new orifice of the glandular duct in the buccal cavity followed by drainage and compressive surgical bandages. Address correspondence and reprint requests to Laudimar Alves de Oliveira, PhD, Departamento de Odontologia, Faculdade de Ciências da Saúde, Campus Darcy Ribeiro, Asa Norte, Universidade de Brasília, Brasília-DF, 70.910-900, Brazil; E-mail: laudimar.oliveira@gmail.com Received 29 January, 2018 Accepted 2 July, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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