Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

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

Vieira, Giovanni Modesto PhD*; Jorge, Fabrício David MD; Franco, Eduardo Jacomino MSc; Dias, Leandro da Cunha MD; Guimarães, Maria do Carmo Machado PhD§; Oliveira, Laudimar Alves de PhD§

Journal of Craniofacial Surgery: May 2019 - Volume 30 - Issue 3 - p 790–792
doi: 10.1097/SCS.0000000000004880
Clinical Studies

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.

*Medical Sciences, University of Brasília, Private Clinic

Hospital Regional da Asa Norte

FOB-USP, Private Clinic

§Faculty of the Health Sciences, University of Brasília, Brasília, Brazil.

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:

Received 29 January, 2018

Accepted 2 July, 2018

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.