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2026.03.11
What is bacal fat? | Difference from Cheek Liposuction
As a plastic surgeon certified by the Japanese Society of Plastic and Reconstructive Surgery, I have been involved in many cases of trauma, reconstruction, and congenital diseases, and have cultivated precise techniques and a deep understanding of anatomy. He entered the field of cosmetic surgery out of a desire to bring the power of cosmetics to his patients, as a change in one's appearance can also make one's mind more positive. Her specialties include general treatment of the eye area, injections, and sagging skin. I provide treatments that focus on beauty with the medical stance of "sincerely addressing the ideals of the patient.
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Designing natural beauty with trust.
I am Masataka Fujihashi, a board-certified plastic surgeon.
One of the most frequently asked questions during a facelift consultation is, "What is the difference between cheek liposuction and bacal fat removal?" This is the question.
Both of these procedures reduce facial volume, though,The location of the fat to be approached is completely different.
If you choose a treatment without understanding this difference, you may not achieve the ideal change.
In this article, we will discuss the differences between bacal fat removal and cheek liposuction, and which fat should actually be treated.
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What is bacarfat?
What is bacarfat?Fat located deep in the cheeks (deep fat)is.
It is one of the fatty parts of the central cheek volume, located anterior to the masseter muscle and near the medial cheek area.
If this fat is high,Easily thickens in the center of the cheeks,Midface roundness and volumeCause ofThis may be the case.
In bacarfat removal surgery,Remove this fat through a small incision in the mouthI will do so.
It is characterized by the fact that it does not leave scars on the skin surface, and can be performed in a relatively short time.
However, bacal fat is also a fat that plays a role in supporting facial volume.
Careful attention should be paid to the amount of resection, as removing too much may cause the cheeks to become lumpy over time.is.
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Characteristics of people with high bacal fat
There are several characteristics of a person with a high volume of bacal fat.
... I often chew on the inside of my cheeks.
... prone to mouth ulcers.
White line between teeth (occlusal line)
The following findings may be seen.
This is because the mucous membrane inside the cheek is more likely to hit the teeth.
These oral changes are one way to determine the amount of bacarfat.
Also, when you bite down on your back teeth.Anterior thickness of masseter musclemay also be volume due to bacal fat.
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Difference from cheek liposuction
Cheek liposuction is,A procedure in which a cannula is used to suction out subcutaneous fat just under the skin.is.
The purpose is to improve the volume of the facial lines, cheeks, and under the chin.
Bacarfat, on the other hand, isCheek deep fatand is removed by an approach from the mouth.
In other words,
Cheek liposuction→ Treatment to reduce subcutaneous fat
・Buccal Fat Removal→ Treatment to reduce deep fat
There is a difference between the two.
Because the layers of fat present are different, the areas that can be improved and the changes that can be made are also different.
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■ Differences from jowl fat
In addition, many of the so called "ponyo" bulges next to the mouth areJorfitby.
Jowl fat is subcutaneous fat that is located near the lower corner of the mouth,
Leaning over the side of the mouth
・Marionette lines
Face line weight
This can be the cause of
Bacarfat, on the other hand, isCentral cheek to mid-face volumeIt is the fat involved in
Therefore, it does not necessarily coincide with the cause of facial line leaning.
Thus, multiple layers of fat are present in the face,It is very important to determine which fat is responsible.
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Treatment is selected according to the layer of fat.
The face has multiple layers of fat, including subcutaneous fat and deep fat (bacal fat),It is important to choose the treatment method according to the layer of fat causing the volumeis.
In general, since bacar fat removal is a procedure that is associated with the risk of cheek moss, we believe that in many cases it is safer to first control volume with liposuction of the cheeks, which can approach subcutaneous fat.
Since subcutaneous fat is distributed over a wide area of the face, it is possible to balance the face line, cheeks, and under the chin.
On the other hand,In those with a round face and strong thickness in the center of the cheeks, bacal fat, which is fat in the back of the cheeks, is the causeand bacal fat removal is very effective.
However,If too much bacarfat is taken out, cheek moss may become more noticeable over time.Therefore, it is important to carefully assess the indications and adjust only the necessary dosage.
Thus, it is not a matter of which procedure is superior, but rather of using the appropriate one for the area of volume and layer of fat to achieve a beautiful result.
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■ Summary
Bacarfat removal and cheek liposuction are both facial miniaturization treatments, but the layers of fat to be approached are different.
Cheek liposuction is for subcutaneous fat, while bacal fat removal is for deep fat in the cheeks.
Also, much of the leanness next to the mouth is due to jowl fat, which is another fat.
Because each facial fat has its own role,It is not enough to take all of them.
Correctly identifying the layers of fat causing the problem and adjusting the appropriate amount is the key to creating natural and beautiful contours.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
