Background <p>Pleomorphic adenoma is the most common benign salivary gland tumor, with the hard palate representing the most frequent intraoral site. Surgical excision remains the treatment of choice, and reconstruction of the resulting palatal defect is critical for restoring function and preventing complications.</p> Aim <p>To report and compare the clinical presentation, surgical management, and reconstructive outcomes of pleomorphic adenoma of the hard palate in two demographically distinct patients, and to assess the effectiveness of the buccal fat pad in palatal reconstruction.</p> Materials and Methods <p>Two patients, a 65-year-old male with a long-standing large palatal mass and a 13-year-old female with a recently enlarging swelling, were diagnosed with pleomorphic adenoma involving the posterior hard palate and soft palate. Both patients underwent wide local excision with adequate margin control followed by immediate reconstruction using the buccal fat pad. Postoperative healing, complications, and functional outcomes were evaluated. A review of relevant literature was also performed.</p> Results <p>Complete tumor excision was achieved in both cases. The pediatric patient demonstrated uneventful healing with satisfactory epithelialization and no postoperative complications. In contrast, the adult patient developed a postoperative oronasal fistula, which required delayed multilayered closure using a palatal advancement flap. Healing was satisfactory following secondary intervention.</p> Conclusion <p>The buccal fat pad is a reliable and effective option for reconstruction of small to moderate palatal defects following excision of pleomorphic adenoma, eliminating the need for a secondary donor site. Patient age and local tissue characteristics appear to influence postoperative outcomes, emphasizing the importance of individualized surgical planning and close postoperative surveillance to promptly manage complications such as oronasal fistula formation.</p>