Advances in dental lasers and their ability to penetrate hard tissues have shown promise for a more efficient and less invasive option, reports Dentistry Today. Clipboard, Search History, and several other advanced features are temporarily unavailable. Oral Maxillofac Surg Clin North Am. The .gov means its official. 1. Supported by our promising results we approached with positive results also chronic headaches of cervical origin, both chronic cervicogenic and occipital neuralgia [10]. None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this paper. Be sure to see your dental professional for regular cleanings not only to keep your teeth pearly white and bacteria-free but also to have them check on the health and size of any hard bony lumps on your gums. Buccal exostosis: (A) Maxillary anterior, Fig. The overlying mucosa appears to be stretched but intact and normal in colour. Surgical removal of the bony buccal exostoses is indicated if they cause pain and tenderness in the overlying mucosa or interfere with normal occlusal function. Clinical assessments were performed at 5 and 14 days, 1, 3, and 6 months, and 1 year after surgical procedure. Due to it being difficult to clean around the exostosis, periodontal disease can often occur as a result, and so this should be treated by t Typically, the bone is trimmed using a high speed dental hand piece, and the tissue is sutured back in place. Always seek the advice of your dentist, physician or other qualified healthcare provider. WebBilateral Maxillary and Mandibular Buccal Exostosis: A Self Reported Case and a Proposal to Include Buccal Exostosis Under Miscellaneous Disorders of Revised Working An exostosis is a benign, localized, peripheral overgrowth of bone of unknown etiology. He scheduled and later performed a surgical operation consisting of splitting open the gum, ablating the bone growth, then sewing close the gum. F. Caviggioli, L. Maione, V. Vinci, and M. Klinger, The most current algorithms for the treatment and prevention of hypertrophic scars and keloids, Plastic and Reconstructive Surgery, vol. Palatal exostoses revealed a prevalence of 30% while buccal exostoses presented a prevalence rate of 0.9 per 1000 persons [13]. An official website of the United States government. WebTreatment of tori and buccal exostoses is usually not necessary. Although these growths are benign, occasionally they can cause problems, especially if they become large enough to interfere with functions of the mouth. Exostosis can be painless, or it can cause severe pain and require surgical removal. MeSH Ask the Colgate Chatbot! 118, no. Conclusion. Fig. Please enable it to take advantage of the complete set of features! Torus palatinus is often a singular growth, whereas torus mandibularus and buccal exostoses tend to be bilateral, meaning they happen on both sides of the mouth. Floss or clean between your teeth with interdental brushes or water flossers at least once a day, and use antimicrobial mouthrinses and tongue scrapers. Clipboard, Search History, and several other advanced features are temporarily unavailable. WebBuccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. Korean J Pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Exostosis, also called osteoma, is a benign growth of new bone on top of existing bone. Oral Health, Dental Conditions & Treatments. Our patient was informed about surgical procedure in particular regarding fat grafting unpredictable reabsorption rate and clinical results in this particular case. Exostosis or abnormal bone growth within the ear canal is called as Surfers ear. 349352, 2011. 465469, 2008. 2014 Nov;4(4):203-207. doi: 10.1902/cap.2013.130005. She was referred to the department for surgical removal of maxillary exostosis in 1999 and related to the surgery a scar adhered to deep planes at the upper right of the vestibule which determined important pain symptoms extending till the right shoulder both during chewing and at rest, interfering with feeding and speaking. Boge, RDH, BS, MPA, E. (2019). But chances are, with an excellent oral hygiene routine and regular checkups, you're going to be all smiles. sharing sensitive information, make sure youre on a federal I had the same procedure for 90% aesthetic reasons, but above my six upper front teeth. 8, pp. The adipose tissue was harvested from the right flank, which is an easy accessible and abundant reservoir of adipose tissue. Im on try 7 of 17. Moreover the patient declared that she stopped analgesic drug assumption immediately after operation. These entities could become symptomatic when they reach such a volume to interfere with feeding and speaking or to alter facial mimic and contour. 6, pp. Prevalence of Palatal Exostoses in Patients Who Have Received Periodontal Surgery in the Posterior Maxilla. [6] In addition, it is recommended that patients who present with multiple growths showing similar characteristics but not in the classic exostoses locations should be evaluated for Gardner syndrome.[7]. Despite buccal exostoses being generally painless and self-limiting, they may cause patient concern regarding poor aesthetics, food lodgement and compromised oral hygiene. Their tendency to grow in size may also contribute to periodontal disease as a result of food build up in the area of the lesion. Buccal exostoses are hard bony protrusions on the outside of your gums and are less common. Korean J Pain. Palatal exostoses revealed a prevalence of 30% while buccal exostoses presented a prevalence rate of 0.9 per 1000 persons [].These clinical entities could become invalidating for patients especially when they reach such a volume to S. R. Coleman, Structural fat grafting: more than a permanent filler, Plastic and Reconstructive Surgery, vol. A prosthesis, such as a denture, is required and cannot be adapted to the exostosis, This page was last edited on 6 February 2023, at 06:55. Using local anesthesia (numbing the specific area around a surgical operation), the surgeon will make an incision and lift the soft tissue away to expose the overgrowth. [11] The mass is generally smooth although in some cases a sharp, bony prominence may be present resulting in tenderness beneath the mucosa. The adjacent teeth 16101615, 2013. Bonding (dont see how this could help though) ? Im dealing with this problem now!! Bookshelf TM, if very large, can inhibit proper speaking, and all types of exostosis can interfere with denture placement. [9] Typically they first appear in early adulthood.[10]. A buccal exostosis is an exostosis (bone prominence) on the buccal surface (cheek side) of the alveolar ridge of the maxilla or mandible. In fact postsurgical scar retraction could determine chronic pain in oral region, in particular during chewing, with an overall reduction of patients quality of life. Commonly found to appear in the premolar-molar region. 3, pp. Exostosis can cause chronic pain or irritation, depending on its size and location. Sometimes, cartilage will grow over an area of exostosis, which is called osteochondroma. These bony outgrowths often occur in the ear when they are called surfers ear, on the heel of the foot, or underneath the nail beds. The site is secure. 11301131, 2010. government site. [6] Despite buccal exostoses being generally painless and self-limiting, they may cause patient concern regarding poor aesthetics, food lodgement and compromised oral hygiene. and transmitted securely. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. At the follow-up examination (3 months postsurgery on the left side and 1 month on the right), the presence of stable periodontal tissue-positioned where it was located during the immediately postoperative period-indicated a satisfactory clinical result. 10331037, 2014. Exostosis mouth is a term used to describe an overgrowth of calcified bone in the oral cavity. After routine preoperative examination and clinical assessment, the patient underwent liposuction under sedation and local anesthesia. Careers. Growths usually appear in the late teens or early adulthood and tend to increase in size over time. 113, no. Routine post-operative instructions are given to the patient and occasionally antibiotics may be prescribed. More commonly seen in the maxilla than the mandible, buccal exostoses are considered to be site specific. In these advanced cases surgical treatment is needed to remove bony prominences and to restore oral function and contour. The type of exostosis you have depends on its location in your mouth. Press question mark to learn the rest of the keyboard shortcuts. It can occur in many parts of the body. It could be hypothesized that fat grafting could inhibit inflammation and determine pain reduction and analgesia. Results. The case described widens the possible application of autologous fat grafting on a new anatomical site as buccal vestibule and in one specific clinical setting confirming its promising biological effects. All rights reserved. Patients should be reassured that these growths are benign and should be encouraged to maintain good oral Lol! and transmitted securely. On this Wikipedia the language links are at the top of the page across from the article title. Palatal exostoses are found on the palatal aspect of the maxilla, and the most common location is the tuberosity area. We describe the case of a 47-year-old female who presented a retractile scar that adhered to deep planes at the upper right of the vestibule due to surgical removal of maxillary exostosis, which determined important pain symptoms extending till the right shoulder during both chewing and rest. Some people may want a growth removed due to aesthetic concerns. When the exostosis is covered with cartilage, it's called an osteochondroma. Total time 1h, some pain afterwards for 2-3 days, easily manageable with regular pain meds. B. W. Neville, D. D. Damm, C. M. Allen, and J. E. Bouquot, Eds., Oral and Maxillofacial Pathology, W.B. Moving from these evidences, we decided to adopt autologous fat grafting for the treatment of postsurgical scar retraction and pain sensation related to exostoses surgical removal, in order to verify its possible beneficial effects in this new approach. Luckily, I dont have a gummy smile. Under local anesthesia, the surgeon will make an incision and lift the soft tissue away to expose the overgrowth of bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. National Library of Medicine Another potential issue is that the tissue covering bone growths is very thin and could get scratched or injured from sharp food resulting in ulcer formation. Material and Methods. official website and that any information you provide is encrypted While your exostosis may have seemed at first like a cause for alarm, hopefully, you now know that they tend to be completely harmless. Oral Care Center articles are reviewed by an oral health medical professional. Clinical examination showed a postsurgical scar area of about 2cm in length, retracted and adherent to deeper planes just at the upper right of the vestibule, which causes pain at digital pressure. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. L. Maione, V. Vinci, F. Caviggioli et al., Autologous fat graft in postmastectomy pain syndrome following breast conservative surgery and radiotherapy, Aesthetic Plastic Surgery, vol. Medically Reviewed By Colgate Global Scientific Communications. Removing this fat can highlight the bone structure in your face, especially your cheekbones and the The surgeon will then trim the bone using a high-speed dental tool (or with new developments in technology, possibly a dental laser, according to Dentistry Today). WebBuccal exostoses (buttressing bone) appear as a bilateral row of smooth bony nodules along the facial alveolar process of the mandible and/or maxilla. 3, supplement, pp. The most commonly occurring bone growths are found in the mouth's roof (torus palatinus) and beneath the Zhonghua Kou Qiang Yi Xue Za Zhi. eCollection 2022 Sep. See this image and copyright information in PMC. Buccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar region. WebBuccal exostosis: a rare entity Authors Sonali V Medsinge 1 , Ramesh Kohad 2 , Harmeeta Budhiraja 3 , Atamjeet Singh 4 , Shradha Gurha 4 , Akash Sharma 1 Affiliations 1 PG 2007 Aug;19(3):423-33, vii. When removal is indicated, proper diagnosis, planning, and technique should be used for optimal results. government site. Yeah, they really have a lot of bunnies in their hats he also performed another surgery These clinical entities could become invalidating for patients especially when they reach such a volume to interfere with feeding and speaking or to alter facial mimic and contour. Saunders Company, Philadelphia, Pa, USA, 1995. M. Klinger, M. Marazzi, D. Vigo, and M. Torre, Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reductio, Aesthetic Plastic Surgery, vol. Currently, buccal exostoses do not commonly require treatment. If there is neither pain nor sensitivity, the buccal exostosis simply needs to be monitored with routine dental check-ups. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. [14] about the teeth, Ive never heard of that. You seem fixated with the esthetic side of the thing; I'll tell you my experience, do what you want with it. Why buccal exostoses form is unclear,[8] but it may involve bruxism (tooth clenching and grinding),[8] and genetic factors. It has caused me a lot of stress because I worry about it getting worse. If your exostosis is one of the rare growths in which treatment is recommended, it can be removed in a dental professional's office usually by an oral surgeon. [2] Existing as asymptomatic bony nodules,[3] buccal exostoses dont usually present until adult life,[4] and some consider buccal exostoses to be a variation of normal anatomy rather than disease. Clinical history revealed a diagnosis of Sjogren syndrome and corrective surgery of cleft palate in 1996; no other pathologic conditions were present. Exostosis mouth is very rarely a concern for the dentist or patient. 32, no. Available at: https://www.colgate.com/en-us/oral-health/basics/mouth-and-teeth-anatomy/buccal-exostosis--causes--treatment-and-care, "Surgical management of the bilateral maxillary buccal exostosis", Hereditary benign intraepithelial dyskeratosis, Neuralgia-inducing cavitational osteonecrosis, https://en.wikipedia.org/w/index.php?title=Buccal_exostosis&oldid=1137749706, Wikipedia articles needing page number citations from January 2020, Creative Commons Attribution-ShareAlike License 3.0, Buccal exostosis along upper left alveolar ridge. 2015;7:6264. 2014;27:1622. Advanced Search Coronavirus articles and preprints Search examples: "breast cancer" Smith J"breast cancer" Smith J [3], Buccal exostoses are bony hamartomas, which are non- malignant, exophytic nodular outgrowths of dense cortical bone that are relatively avascular.[5]. The diagnosis is established by a combination of medical history and clinical and radiographic features of the affected region. 2, pp. The procedure is also sometimes called a cheek reduction. Exostosis: Causes, types, and treatment - Medical News Today doi: 10.7759/cureus.29020. This information is for educational purposes only. 8600 Rockville Pike The histologic features of exostoses are described as hyperplastic bone, consisting of mature cortical and trabecular bone [1]. Buccal exostosis or osteoma These are an abnormal growth of hard lump on the back roof of the mouth. Both informed consent form and preoperative images were collected (Figure 1). Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Buccal exostosis: a rare entity. 2017 Nov 9;52(11):672-677. doi: 10.3760/cma.j.issn.1002-0098.2017.11.005. Surgical management of the bilateral maxillary buccal exostosis. Accessibility Create an account to follow your favorite communities and start taking part in conversations. 12, pp. Pictures above are flipped - the right side irl is showing to the left in the picture and vice versa. Found usually in the premolar and molar region. buccal exostosis; osteotomy; periodontal cosmetic surgery. But make no bones about it, we'll give you all the info you need on the types, causes, and potential issues with exostoses to ensure your oral health keeps you smiling. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude. Yes for me i would say it's more aesthetic - I wanted to do invisalign for aesthetic purposes overall because my teeth weren't too bad when i started and i just wanted to straighten them out + fix my slight overjet so it's a bit disheartening to now come out with a problem i didn't even consider. 1998. official website and that any information you provide is encrypted A. M. Botman et al., The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation, Plastic and Reconstructive Surgery, vol. WebA torus is often obvious, presenting as several rounded protuberances or calcified multiple lobules, whereas a buccal exostosis is singular and may appear as a sharp, pointed bony WebWhen symptoms do happen, they can include: Pain near the joint Stiffness Limited movement Bumps, especially in the hands or feet Swelling Weakness Numbness One leg PMC 2007. P. Gaetani, M. Klinger, D. Levi et al., Treatment of chronic headache of cervical origin with lipostructure: an observational study, Headache, vol. If there is any diagnostic doubt, or the patient is anxious The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). WebExostosis or hyperostoses are localized cortical bone growth on the mandible and maxilla. Giant Osteoma of Zygoma Mimicking Pseudo-Temporo-Mandibular Joint Ankylosis: A Case Report. 3, pp. Our team adopts autologous fat grafting in the treatment of multiple pathological status beyond all scar treatment and pain syndromes. Ulcerations may occur if the mucosa is traumatized. We subsequently treated her with autologous fat grafting according to Colemans technique. 3, pp. If you're unsure whether or not growth under the tissue in your mouth is bone, then it's worth having a professional take a look right away to ensure it's not something more problematic. It's nothing more than a protrusion of bone in a roughly circular shape, which can develop on the upper or lower jaw bone. Learn About a Treatment Sequence for Maximal Efficiency. Unauthorized use of these marks is strictly prohibited. J Periodontol. Mundada BP, Bhola ND, Mishra A, Hingnikar P, Dakshinkar P, Gaikwad P. Cureus. Following surgery pressure dressing was applied over donor site for 5 days and antibiotic therapy was recommended for 5 days (cefixime 400mg 1 pill per day). 7, pp. Careers. WebBuccal fat removal is a surgery to remove the fat in this area of your face. Disclaimer. Moving from these evidences we consider autologous fat grafting as an innovative solution for pain syndromes related to scar retraction although the exact mechanism of action is still unclear. WebBuccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar Thrower's Exostosis of the Shoulder: A Systematic Review With a Novel Classification. 2014 Jan;27(1):16-22. doi: 10.3344/kjp.2014.27.1.16. We can appreciate soft tissue volume deposition in the area of previous fat grafting. Buccal exostoses are broad-based, non-malignant surface growth occurring on the outer or facial surface of the maxilla and/or mandible, found usually in the premolar and molar region. 19, 20, 23 to 26, 28, and 30. An official website of the United States government. Teeth clenching, malocclusion or some other underlying problem can cause excess strain and This community provides (unofficial) support for those using Invisalign! The prevalence of buccal The patient also stated that he had difficulty in placing and removing his RPD, and had trouble with food impaction below the buccal exostosis. 2022 Sep 11;14(9):e29020. The surgical procedures, which were performed at separate appointments for the left and right sides, involved reflection of full-thickness flaps and careful osteotomy with a carbide spherical drill and a Rhodes chisel. Bone is thought to become hyperplastic, consisting of mature cortical and trabecular bone with a smooth outer surface. YYYY Colgate-Palmolive Company. 8, no. 5, pp. Exostoses have been described as nodular protuberances of mature intraoral bone. 62, no. Unable to load your collection due to an error, Unable to load your delegates due to an error. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 128, no. Exostoses are protuberances of calcified bone which are designated according to typical anatomic location. The overlying mucosa appears to be stretched but intact and normal in color. 284291, 1986. Technique: This procedure is typically performed by an oral surgeon experienced in management of conditions related to jaw bone. Background. 45, pp. This case report describes the surgical treatment of bilateral bone projections on the buccal surface of the maxilla that represented an undesirable esthetic alteration to the patient. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. Unable to load your collection due to an error, Unable to load your delegates due to an error. The presence of buccal exostosis can be diagnosed by both clinical examination and radiological interpretation of the oral cavity. This site needs JavaScript to work properly. During the clinical meeting we observed progressive release of scar retraction and quality improvement measured with POSAS scale [12], together with an important decrease of pain symptoms which lasts for all the postoperative follow-up controls (Figure 3). Clinical assessment was performed after surgical procedure at 5 and 14 days, 1, 3, and 6 months, and 1 year. Oral Maxillofac Surg Clin North Am. This then causes the bodys natural defense to produce extra bone material to support the teeth. Bethesda, MD 20894, Web Policies A total of about 5 cc of adipose tissue was injected. How are you handling it now? Thanks for sharing your experiences, i appreciate it!!! Chandna S, Sachdeva S, Kochar D, Kapil H. J Indian Soc Periodontol. 24, no. Also, if you have missing teeth and are considering dentures, all types of exostosis can potentially interfere with the placement of your artificial teeth. Your dentist and dental hygienist can detect oral problems early and suggest the best treatments for you. Most often, by practicing good oral hygiene, your mouth can be as healthy as if you had no exostoses at all. Mesenchymal stem cells and adipose-derived stem cells could efficiently reduce T-cell activation inhibiting the proliferation of CD4 and CD8 T lymphocytes [15]. 559561, 2006. Buccal exostoses generally occur bilaterally. Buccal Exostosis: Causes, Treatment and Care | Colgate. 2016 Nov;26(11):111-113. Nonetheless also surgical removal could be related to different drawbacks. Buccal exostoses are benign bony protuberances that may grow over time but rarely result in functional alterations. Federal government websites often end in .gov or .mil. It may be a nodular, flat or pedunculated protuberance located on the jawbones alveolar surface.1 It frequently occurs in long bones where tendons and muscles are inserted. Youre beautiful girl! 10. As always, practice good oral hygiene by brushing at least twice a day. Bethesda, MD 20894, Web Policies These benign growths affect both the jaws. 13, no. Feeling really sad and unoptimistic right now about what's waiting for me at the end of the invisalign journey. After 3 months from surgical operation we performed an MRI of the facial skeleton and we appreciated a soft tissue volume increase in the area of previous fat grafting (Figure 4). PMC Copyright 2015 Andrea Lisa et al. Following Colemans procedure [11], the obtained fat was processed by centrifugation at 3000rpm for 3 minutes. Surgical Procedures of Buccal Exostosis Resection on orangecountysurgeons.org During buccal exostosis resection, a benign bone Buccal exostoses occur along the buccal aspect of the maxilla or mandible, usually in the premolar and molar areas. Concurrence of Torus Palatinus, Torus Mandibularis and Buccal Exostosis. Buccal vestibule scar retraction showed a release after one procedure of autologous fat grafting and our patient referred to clinical remission of pain which did not need any analgesic treatment with a total follow-up of one year. This site needs JavaScript to work properly. When being symptomatic, exostosis allows the possibility of surgical removal that could be related to different drawbacks. It's not a tumor, nor is it likely to affect your quality of life. If they notice thickened or protruding bone during their structural assessment, they will likely take a photo or measure the structure to document any growth that occurs over time. Buccal exostosis: (A) Maxillary anterior region; (B) Maxillary posterior region; (C) Mandibular anterior, MeSH This can highlight the bone structure in your face, especially your cheekbones and the hollowed-out areas between your cheeks and jawline. She did not assume any other medications. A female patient, aged 47 years, came to Department of Plastic Surgery at Humanitas Research Hospital in February 2013. Exostoses are considered a variation of normal, and most often, they pose no health concern at all. They tend to appear in early adolescence and may very slowly increase in size with time. doi: 10.1016/j.coms.2007.04.003. [14] Due to it being difficult to clean around the exostosis, periodontal disease can often occur as a result, and so this should be treated by the dentist or dental hygienist/therapist. No support therapy has been described until now for these weakening symptoms in this group of patients who, most of the time, are analgesic medications dependent. Gum contouring? Funny enough, before my refinements the right was the side which was doing really well because my upper and lower teeth were aligned whereas the other side they were misaligned and needed more treatment. J Coll Physicians Surg Pak. eCollection 2020 Jul. Please enable it to take advantage of the complete set of features! No local or systemic signs of infection were found, and no complications occurred. Also schedule regular dental visits. Postsurgical scar retraction should be mentioned together with pain sensation during chewing, which can compromise dramatically the quality of life of patients. Epub 2013 Dec 31. There is no known cause (etiology) of bone growing out of gums, the mouth's roof, or under the tongue. The psychosomatic disorders pertaining to dental practice with revised working type classification. Appointments 216.444.5725 Appointments & Locations Request an Appointment One of the most common oral surgical procedures we perform is removal of mandibular and maxillary torus and exostosis. They are benign and in most individuals they do not cause any problems. F. Caviggioli, L. Maione, D. Forcellini, F. Klinger, and M. Klinger, Autologous fat graft in postmastectomy pain syndrome, Plastic and Reconstructive Surgery, vol. Patients are given oral hygiene advice and are advised to cleanse above and below the growth with a mouthwash once a day to remove any food debris. CONFLICT OF INTEREST: The author declares that there is no conflict of interest and no source of funding. P. A. Zuk, M. Zhu, P. Ashjian et al., Human adipose tissue is a source of multipotent stem cells, Molecular Biology of the Cell, vol. To keep the rest of your mouth healthy, brush twice daily with a toothpaste that repairs early teeth and gum damage. Buccal exostoses generally tend to be asymptomatic and are usually painless. WebThey begin to develop in early adulthood and may very slowly enlarge over years. Most often, your dental professional will diagnose you with an exostosis during a regular checkup. There are, however, some occasions were treatment is required, for example; If the growth needs to be removed then a simple surgical procedure can be carried out under local anaesthetic with no recurrence in the long-term follow up. Medsinge SV, Kohad R, Budhiraja H, Singh A, Gurha S, Sharma A. Clin Adv Periodontics. Would you like email updates of new search results? Intraoral Clinical Picture of First patient showing maxillary buccal exostoses. Up to now no support therapy has been described to treat these weakening symptoms in this group of patients. Removal of torus or exostosis is a relatively minor procedure with minimal discomfort. WebBuccal fat removal is a surgery to remove the fat in this area of your face. Persistent pain as a consequence of surgical treatment has been reported for several common surgical procedures and represents a clinical problem of great magnitude.