Brief Clinical StudiesExtra-Oral Excision of a Buccal Fat Pad LipomaTrento, Guilherme dos Santos DDS*; Stringhini, Diego José DDS*; Rebellato, Nelson Luis Barbosa DDS, PhD*; Scariot, Rafaela DDS, MS, PhD†Author Information *Department of Oral and Maxillofacial Surgery at Federal University of Paraná at Curitiba—UFPR † Department of Oral and Maxillofacial Surgery at Positivo University at Curitiba—UFPR, Curitiba, Brazil. Address correspondence and reprint requests to Guilherme dos Santos Trento, DDS, 632th Mayor Lothario Meissner Avenue, Curitiba, PR 80210160, Brazil; E-mail: email@example.com Received 30 September, 2016 Accepted 23 October, 2016 The authors report no conflicts of interest. Journal of Craniofacial Surgery: May 2017 - Volume 28 - Issue 3 - p e226-e227 doi: 10.1097/SCS.0000000000003414 Buy Metrics Abstract Lipomas and its variants are common soft tissue tumors, and however occur infrequently in the oral and maxillofacial region. Their incidence in the oral cavity is low among all oral lesions. Oral lipoma is yellowish and soft to palpation, and histologically can be mistaken by other lipoma variants. The aim of this study is to report a case of a lipoma located at the buccal fat pad which was removed through an extra-oral access. A 43-year-old male is presenting an augmentation in the right buccal region, being a soft consistency mobile lesion with 1.5 cm of diameter, asymptomatic, and 2 years of growing. Computed tomography scan showed hypodensity compatible with adipose tissue. The lesion was removed through an extra-oral access. The lipoma described in this clinical report had an unusual location and once the lesion was very superficial an extra-oral access was the first treatment option despite the fact that was a benign tumor. © 2017 by Mutaz B. Habal, MD.