Transient facial paresis as a complication of buccal fat removal
Aim: This case highlights the rarely reported complication of facial paresis following buccal fat pad removal and its management. Background: The buccal fat pad is a vital structure in facial aesthetics. In recent years, buccal fat pad removal for mid facial sculpting has gained popularity among pat...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587824001414 |
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| author | Alexa Franco Anna Frants Manuela von Sneidern Danielle F. Eytan |
| author_facet | Alexa Franco Anna Frants Manuela von Sneidern Danielle F. Eytan |
| author_sort | Alexa Franco |
| collection | DOAJ |
| description | Aim: This case highlights the rarely reported complication of facial paresis following buccal fat pad removal and its management. Background: The buccal fat pad is a vital structure in facial aesthetics. In recent years, buccal fat pad removal for mid facial sculpting has gained popularity among patients owing in part to the rise of social media in plastic surgery. Although buccal fat pad removal is usually a safe procedure, potential complications can be quite severe, and can include infection, over-resection, asymmetry, hematoma, facial nerve or parotid duct injury and trismus. Case description: Herein we describe a case of iatrogenic left facial paresis secondary to buccal fat removal, and discuss the importance of appropriate patient counseling, meticulous technique, and post-operative care in the event of a complication. Conclusion: High dose corticosteroids and facial therapy can be effective in treating iatrogenic facial palsy secondary to buccal fat pad removal. Clinical significance: Although buccal fat pad removal has become a common procedure for midface sculpting, the risks remain serious and patient counseling regarding possible complications, including transient facial palsy, is paramount. Meticulous technique as well as knowledge of the relationships between the buccal fat pad, the parotid duct, and the buccal branches of the facial nerve are vital in the prevention of facial paresis when removing buccal fat. |
| format | Article |
| id | doaj-art-38418ddc87c24914b070dbbf9706165b |
| institution | OA Journals |
| issn | 2352-5878 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-38418ddc87c24914b070dbbf9706165b2025-08-20T02:31:12ZengElsevierJPRAS Open2352-58782024-12-014224424910.1016/j.jpra.2024.09.012Transient facial paresis as a complication of buccal fat removalAlexa Franco0Anna Frants1Manuela von Sneidern2Danielle F. Eytan3NYU Langone Health Department of Otolaryngology-Head and Neck Surgery, New York, NY, USANYU Langone Health Department of Otolaryngology-Head and Neck Surgery, New York, NY, USANYU Langone Health Department of Otolaryngology-Head and Neck Surgery, New York, NY, USANYU Langone Health, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, New York, NY, USA; Corresponding author at: 222 E 41st St, 8th Floor, New York, NY 10017, USA.Aim: This case highlights the rarely reported complication of facial paresis following buccal fat pad removal and its management. Background: The buccal fat pad is a vital structure in facial aesthetics. In recent years, buccal fat pad removal for mid facial sculpting has gained popularity among patients owing in part to the rise of social media in plastic surgery. Although buccal fat pad removal is usually a safe procedure, potential complications can be quite severe, and can include infection, over-resection, asymmetry, hematoma, facial nerve or parotid duct injury and trismus. Case description: Herein we describe a case of iatrogenic left facial paresis secondary to buccal fat removal, and discuss the importance of appropriate patient counseling, meticulous technique, and post-operative care in the event of a complication. Conclusion: High dose corticosteroids and facial therapy can be effective in treating iatrogenic facial palsy secondary to buccal fat pad removal. Clinical significance: Although buccal fat pad removal has become a common procedure for midface sculpting, the risks remain serious and patient counseling regarding possible complications, including transient facial palsy, is paramount. Meticulous technique as well as knowledge of the relationships between the buccal fat pad, the parotid duct, and the buccal branches of the facial nerve are vital in the prevention of facial paresis when removing buccal fat.http://www.sciencedirect.com/science/article/pii/S2352587824001414Facial palsyFacial nerveFacial nerve palsyBuccal fat |
| spellingShingle | Alexa Franco Anna Frants Manuela von Sneidern Danielle F. Eytan Transient facial paresis as a complication of buccal fat removal JPRAS Open Facial palsy Facial nerve Facial nerve palsy Buccal fat |
| title | Transient facial paresis as a complication of buccal fat removal |
| title_full | Transient facial paresis as a complication of buccal fat removal |
| title_fullStr | Transient facial paresis as a complication of buccal fat removal |
| title_full_unstemmed | Transient facial paresis as a complication of buccal fat removal |
| title_short | Transient facial paresis as a complication of buccal fat removal |
| title_sort | transient facial paresis as a complication of buccal fat removal |
| topic | Facial palsy Facial nerve Facial nerve palsy Buccal fat |
| url | http://www.sciencedirect.com/science/article/pii/S2352587824001414 |
| work_keys_str_mv | AT alexafranco transientfacialparesisasacomplicationofbuccalfatremoval AT annafrants transientfacialparesisasacomplicationofbuccalfatremoval AT manuelavonsneidern transientfacialparesisasacomplicationofbuccalfatremoval AT daniellefeytan transientfacialparesisasacomplicationofbuccalfatremoval |