Buccal Fat Removal - intraoperative footage. I have already injected lidocaine and made a small incision in the cheek lining at this point. In the video, I am using an instrument to spread through the buccinator muscle and enter the buccal space, where you can see the buccal fat pad peeking out. Gentle pressure expresses the fat pad. I do not remove the entire fat pad to avoid over hollowing - only the portion of the fat pad that is easily expressed. I will cauterize and cut through the base of the expressed fat, and then use a couple dissolvable sutures to close the incision. This procedure takes less than an hour and is easily performed in office with oral relaxing medications. There is mild to moderate cheek swelling after the procedure which usually lasts about a week. #currentfacialplasticsandmedspa #currentfacialplastics #nmb #mbmedspa #surgery #surgeon #myrtlebeach #southcarolina #medical #medspa #buccalfatremoval #buccalfat #surgeon #surgeryroom #plasticsurgery