Aesthetic plastic surgery · 2026
Buccal Fat Pad Excision: Incidence, Management, and Clinical Observations of Postoperative Hematoma and Seroma in 302 Patients.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Shu Kai-Yi, Zhao Yu-Qi, Zhao Jiu-Li, Zheng Yan, Qin Xiao
Аннотация
OBJECTIVE: To investigate the incidence, clinical characteristics, management, and outcomes of postoperative hematoma and seroma after buccal fat pad (BFP) excision, and to evaluate the association between resection completeness and early complications using both side-level and patient-level analytical approaches.
METHODS: This single-centre retrospective study included 302 patients (90 males, 212 females) who underwent BFP excision under local anaesthesia from November 2023 to September 2025. A standardised intraoral protocol was applied, comprising epinephrine-containing tumescent anaesthesia, gentle blunt dissection, syringe-based volume measurement, and postoperative compression. Follow-up was scheduled at 1 week, 1, 3, and 6 months. Hematoma and seroma were defined by clinical and ultrasound findings. Incidence was reported with 95% confidence intervals, and side-level associations were analysed via Fisher's exact test.
RESULTS: The overall complication rate was 1.99% (6/302, 95% CI 0.73-4.29%), with all events occurring on partial removal sides. No complications were noted after complete resection (0/302 sides). The complication rate was 2.1% for partial versus 0% for complete removal (p = 0.003). All complications resolved with aspiration or drainage plus antibiotics if indicated, without reoperation or permanent nerve injury. Six-month satisfaction reached 96%.
CONCLUSION: Standardised BFP excision is safe with a low complication rate. Hematoma/seroma is limited to partial resection. Incomplete buccal process excision requires enhanced clinical vigilance and close postoperative monitoring.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: This single-centre retrospective study included 302 patients (90 males, 212 females) who underwent BFP excision under local anaesthesia from November 2023 to September 2025. A standardised intraoral protocol was applied, comprising epinephrine-containing tumescent anaesthesia, gentle blunt dissection, syringe-based volume measurement, and postoperative compression. Follow-up was scheduled at 1 week, 1, 3, and 6 months. Hematoma and seroma were defined by clinical and ultrasound findings. Incidence was reported with 95% confidence intervals, and side-level associations were analysed via Fisher's exact test.
RESULTS: The overall complication rate was 1.99% (6/302, 95% CI 0.73-4.29%), with all events occurring on partial removal sides. No complications were noted after complete resection (0/302 sides). The complication rate was 2.1% for partial versus 0% for complete removal (p = 0.003). All complications resolved with aspiration or drainage plus antibiotics if indicated, without reoperation or permanent nerve injury. Six-month satisfaction reached 96%.
CONCLUSION: Standardised BFP excision is safe with a low complication rate. Hematoma/seroma is limited to partial resection. Incomplete buccal process excision requires enhanced clinical vigilance and close postoperative monitoring.
LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .