Facial contouring with the S.H.A.P.E. technique: A case series on buccal fat reduction

Objectives: Buccal fat pad (BFP) modification enhances facial contours, reducing fullness and creating a sculpted appearance. This study presents a safe and straightforward technique for buccal fat reduction. Material and Methods: A retrospective analysis was conducted on 62 patients who underwent BFP reduction using the Supraductal incision, Hydrodissection, Angle, Pressure, Excision (S.H.A.P.E). technique from October 2022 to September 2024. The S.H.A.P.E. technique involves five steps: Site of incision, hydrodissection, angle, pressure, and excision. Patient satisfaction was assessed using a 5-point Likert scale. Results: The cohort included 28 males (45.2%) and 34 females (54.8%), with an average age of 32 years. Standalone BFP removal was performed in 21 cases (33.9%), while the majority underwent combined procedures. A significant proportion of patients reported being “Highly Satisfied” (48.4%) or “Satisfied” (41.9%) with the results. Mild swelling was the most common post-operative observation, with no significant complications reported. Conclusion: The S.H.A.P.E. technique provides a structured approach to BFP reduction, minimizing risks and ensuring predictable outcomes. It helps avoid complications and ensures better outcomes. The technique simplifies buccal fat reduction into five key steps, ensuring that the procedure is both safe and effective, and easily reproducible, particularly for beginners.