Evidence map›Paper›PMID 42864538›Full record

ArticleAesthetic plastic surgery2026

Buccal Fat Pad Excision: Incidence, Management, and Clinical Observations of Postoperative Hematoma and Seroma in 302 Patients.

Kai-Yi Shu, Yu-Qi Zhao, Jiu-Li Zhao, Yan Zheng, Xiao Qin

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Kai-Yi ShuDepartment of Medical Cosmetology and Plastic Surgery, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Yu-Qi ZhaoDepartment of Surgery, Jiangnan University, Wuxi, Jiangsu, China.
Jiu-Li ZhaoDepartment of Medical Cosmetology, Chengdu Second People's Hospital, Chengdu, Sichuan, China.
Yan ZhengDepartment of Medical Cosmetology and Plastic Surgery, Affiliated Hospital of Southwest Jiaotong University, The Third People's Hospital of Chengdu, Chengdu, Sichuan, China.
Xiao QinDepartment of Medical Cosmetology and Plastic Surgery, Affiliated Hospital of Southwest Jiaotong University, The Third People's Hospital of Chengdu, No.19, Yang Shi Road, Qing Yang District, Chengdu, 610031, Sichuan, China. cdsyyyxmrb@163.com.

Funding

Sichuan Province Science and Technology Support Program No. 2024YFHZ0128The Science and Technology Plan Projects of Tibet Autonomous Region (Key Research and Development Program No. XZ202401ZY0087
6 · The paper itself

Abstract

objectiveTo 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.

methodsThis 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.

resultsThe 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%.

conclusionStandardised 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 .

Indexed as

Buccal fat pad excisionComplete versus partial resectionIntraoral aesthetic surgeryPostoperative hematomaPostoperative seroma

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.