Orthognathic surgery aims to restore occlusal function and facial harmony. However, skeletal correction does not guarantee adequate aesthetic balance, particularly in the midfacial region. This technical note describes a surgical modification that incorporates the repositioning of the buccal fat pad (Bichat fat pad) during orthognathic surgery, with the goal of improving facial projection and volume without the need for autologous grafts or synthetic fillers. The proposed technique provides a biologically compatible volume enhancement, with minimal morbidity and stable results.
Olate et al. (2026) studied this question.