{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T09:58:17Z","timestamp":1758189497212,"version":"3.44.0"},"reference-count":3,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To evaluate the effectiveness of a comprehensive surgical approach addressing perioral mounds\u2014the \u201cmouth pouch\u201d\u2014through modified buccal fat pad sculpting, targeted mucosal and muscle resection, and focal skin tightening for enhanced lower facial contouring.<\/jats:p><jats:p>Conventional techniques often fall short in resolving contour irregularities in the perioral region due to intricate anatomy and high functional mobility.<\/jats:p><jats:p>The perioral area includes a complex interplay of superficial and deep fat compartments, musculature, vasculature, and nerves. Aging-related atrophy of superficial fat and pseudoherniation of buccal fat contribute to soft tissue compartmentalization and visible mounding.<\/jats:p><jats:p>Radiofrequency-assisted dermal tightening is combined with intraoral fat sculpting to promote further definition.<\/jats:p><jats:p>Ideal candidates have distinct perioral mounds, robust buccal fat pads, thickened oral mucosa, and visible lines of parakeratosis.<\/jats:p><jats:p>A seven-step intraoral technique under local anesthesia include mucosal resection, buccinator stripping, buccal fat pad sculpting, and radiofrequency treatment.<\/jats:p><jats:p>Dual compression with intraoral packing and external head wrap minimizes hematoma and infection risk.<\/jats:p><jats:p>Combining bony augmentation (e.g., chin implants) with soft tissue contouring yields comprehensive lower face rejuvenation.<\/jats:p><jats:p>This technique for treating perioral mounds, in carefully selected patients, provides a reproducible, and safe method for lower facial contour enhancement.<\/jats:p>","DOI":"10.1055\/a-2622-2896","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T19:40:25Z","timestamp":1748374825000},"page":"602-606","source":"Crossref","is-referenced-by-count":0,"title":["Modified Buccal Fat Pad Reduction as a Component of Perioral Mound Rejuvenation \u201cThe Mouth Pouch\u201d"],"prefix":"10.1055","volume":"41","author":[{"given":"Benjamin P.","family":"Caughlin","sequence":"additional","affiliation":[{"name":"Many Faces of Chicago LLC, Chicago, Illinois"},{"name":"Division of Facial Plastic and Reconstructive Surgery, University of Illinois Health Hospital System, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Abud","sequence":"additional","affiliation":[{"name":"Division of Facial Plastic and Reconstructive Surgery, University of Illinois Health Hospital System, Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1097\/RCT.0000000000001659","article-title":"Changes of the buccal fat pad volume according to the different age groups, gender, and body mass index: an evaluation with computed tomography","volume":"49","author":"M Ak\u015famo\u011flu","year":"2025","journal-title":"J Comput Assist Tomogr"},{"issue":"04","key":"ref2","first-page":"074880682098086","article-title":"Buccal fat pad sculpting for lower facial contouring with 3-dimensional volume assessment","volume":"38","author":"R T Cristel","year":"2020","journal-title":"Am J Cosmet Surg"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1089\/fpsam.2020.0378","article-title":"Buccal fat pad sculpting for lower facial contouring","volume":"23","author":"R T Cristel","year":"2021","journal-title":"Facial Plast Surg Aesthet Med"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2622-2896.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T23:08:48Z","timestamp":1758064128000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2622-2896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,27]]},"references-count":3,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2622-2896","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"type":"print","value":"0736-6825"},{"type":"electronic","value":"1098-8793"}],"subject":[],"published-other":{"date-parts":[[2025,5,27]]},"published":{"date-parts":[[2025,5,27]]}}}