Rotación del cuerpo adiposo de la mejilla para aumento de la proyección labial: reporte de caso

Abstract

The treatment of patients with skeletal abnormalities or deformities begins with planning based on facial analysis and cephalometric tracing. Often the values obtained from that analysis reveal abnormal skeletal conditions or insuffi cient soft tissue. Autologous fat grafts and using the buccal fat pad provide viable options to correct these defects and achieve a favorable aesthetic and functional result. The tissue characteristics of the buccal fat pad make it a structure that has good adaptability and a low rate of infection and rejection. It is often overlooked and simply resected to achieve more defi ned cheekbones and facial contours. It has multiple therapeutic uses and should always be considered an option in reconstructive procedures. We present the case of a 17-year-old female patient diagnosed with a dentofacial deformity, soft tissue defi ciency in the lip and perinasal region, and a failed orthodontic camoufl age treatment. Orthognathic and rhinoplasty surgery were performed to correct the hard-tissue defect, and the buccal fat pad rotated and advanced to enhance soft-tissue projection.