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Surgical Considerations and Complications in Aesthetic Bichat's Fat Pad Removal: A Literature Review

Alejandro León, Igor Mariotto Beneti, Katty Rios

The Bichat's Fat Pad (BFP) is a well-defined multilobed structure; closely related to nervous and vascular structures and positioned bilaterally in the facial region. Its removal is one of the most requested aesthetic procedures today, due to its influence on facial aesthetics; which constitutes a clinical challenge that requires special attention; so that the surgical intervention is minimally invasive and without complications. The aim of this review was to collect and evaluate studies reporting complications associated with BFP removal for cosmetic reasons. The search was carried out in international databases; these being: PubMed, Scopus, Google Scholar and Scielo; and articles from the last 5 years were evaluated using the terms “Bichat's fat pad”, “Buccal Adipose Body”, “Bichat’s fat pad”, “Bichectomy”, “Lipectomy”, “Complications” Y “Facial Aesthetics”. From this search, the articles that best fit the theme were selected, through critical analysis. Therefore, it can be concluded that some of the complications of BFP removal can be serious; Therefore, it is essential that professionals have in-depth knowledge even when considering a safe surgical technique.