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Antunes et al. Plast Aesthet Res 2018;5:11 Plastic and
DOI: 10.20517/2347-9264.2018.03 Aesthetic Research

Case Report Open Access

Clinical applications of the jugal lipectomy
technique: case reports

Bárbara do Amaral Antunes , Alan Robert Moreira Schmitt , Michel Abrão Neto , Filipe Jaeguer , Maria da
4
3
1
2
Graça Naclério-Homem , Matheus Furtado de Carvalho 6
5
1 Dental School, Federal University of Juiz de Fora, Governador Valadares 35010-177, Brazil.
2 Department of Oral and Maxillofacial Surgery, University of the State of Rio de Janeiro, Rio de Janeiro 20551-030, Brazil.
3 Department of Oral and Maxillofacial Surgery, President Tancredo de Almeida Neves University, São Joao Del Rei 36301-182, Brazil.
4 Department of Oral and Maxillofacial Surgery, Pontifical Catholic University of Minas Gerais, Belo Horizonte 30535-901, Brazil.
5 Department of Oral and Maxillofacial Surgery, Federal University of São Paulo, São Paulo 05508-000, Brazil.
6 Department of Oral and Maxillofacial Surgery, Federal University of Juiz de Fora, Governador Valadares 35010-177, Brazil.
Correspondence to: Dr. Matheus Furtado de Carvalho, Department of Oral and Maxillofacial Surgery, Federal University of Juiz de Fora,
Governador Valadares 35010-177, Brazil. E-mail: matcarodonto@yahoo.com.br
How to cite this article: Antunes BA, Schmitt ARM, Neto MA, Jaeguer F, Naclério-Homem MG, Carvalho MF. Clinical applications of the
jugal lipectomy technique: case reports. Plast Aesthet Res 2018;5:11. http://dx.doi.org/10.20517/2347-9264.2018.03
Received: 22 Jan 2018 First Decision: 24 Feb 2018 Revised: 5 Mar 2018 Accepted: 5 Mar 2018 Published: 14 Mar 2018
Science Editor: Raúl González-García Copy Editor: Jun-Yao Li Production Editor: Huan-Liang Wu

Abstract

The adipose body of cheek is the tissue located in the buccal space. In the past, the partial removal of this tissue, called
jugal lipectomy, was indicated to fill defects resulting from buccosinusal communications and/or maxillary resections.
Recently, such technique became popular in facial aesthetics as it gives patients the feel of a more delicate face, in which
the zygomatic bone appears to be more prominent due to the reduction in the volume of the cheeks. However, many
professionals are unaware of how to establish the correct diagnosis of facial volume alterations, as well as in performing
and treating the complications that may arise from jugal lipectomy. The aim of this paper is to present three clinical
cases with different applications of jugal lipectomy, discussing some relevant aspects of surgical planning that involve the
request for imaging exams and a previous study of this tissue’s anatomical features.
Keywords: Face, lipectomy, adipose tissue, aesthetics

INTRODUCTION
Although previous studies on adipose body of cheek (ABC) have been brief and scarce in the literature,
there is currently a greater interest by researchers in studying the anatomy of this support tissue,
[1]
considered as an important factor influencing facial aesthetics .

The ABC, also known as the “Bichat ball”, was described in 1802 by French physiologist and anatomist
© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
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sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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