Buccal Fat Pad Graft in Maxillofacial Surgery

Despite the widespread use of pedicled buccal fat pad (BFP) flap in maxillofacial reconstruction, free nonvascular transfer of this fat is not widely used. Dermal fat transfer to the maxillofacial region is a known procedure with good results; however, it needs a skin incision in the donor site. Resorption of this graft is the other problem. Buccal fat with inherent resistance against resorption and ease of harvest is an interesting option. Six cases are reported in this article for the facial soft tissue augmentation in hemifacial microsomia, scar adhesion, temporal hallowing, and the release of TMJ bony ankylosis and check adhesion.