BICHECTOMY-Buccal Fat Removal
What is bichectomy or buccal fat removal?
Bichectomy is a plastic surgery procedure designed to narrow the middle and lower part of the face.
Also referred to as the "Hollywood cheek," bichectomy removes buccal fat from the cheeks, resulting in more defined cheekbones, a thinner cheek, and an overall slimmer, more sculpted face.
As in all aesthetic surgeries, consultation with a plastic surgeon is essential, because it is necessary to understand whether the patient's facial structure is suitable for bichectomy. Because bichectomy is not suitable for every patient.
Bichectomy is best suited for people in their 20s and 30s with thick, square, or round faces.
It may also not be suitable for older patients, as facial fat naturally decreases with age and bichectomy will accentuate the aging process more prominently. Those outside of a healthy weight range are also not suitable for the procedure, as weight gain and weight loss can significantly alter face shape.
How is a bichectomy done?
An experienced plastic surgeon can complete the bichectomy procedure under local anesthesia in about 30 minutes. A small incision (approximately 1 cm) is made inside of the cheek. The buccal fat pad is exposed and carefully removed, and then the incision is closed with absorbable sutures.
It is possible to combine this surgery with other facial procedures, including rhinoplasty.
Care after bichectomy
After surgery, patients are given a special mouthwash to prevent infection, as well as information about caring for the incisions in the mouth. Given the location of the incisions, patients should adhere to a liquid diet for the first few days after bichectomy, then gradually switch from soft foods to a normal diet. Wounds heal within two weeks.
Your face may bruise and swell. Ice is applied to reduce swelling.
Final results are obtained in 2-3 months after surgery.
Complications of Bichectomy
Although rare, some complications may occur:
Infection or poor wound healing
Adverse reaction to anesthesia
Fluid accumulation or seroma
Damage to the salivary glands
Loss of sensation or damage to facial nerves
Deep vein thrombosis (DVT)
Facial asymmetry or poor results
The best way to avoid side effects is to see a professional, licensed plastic surgeon and carefully follow all aftercare recommendations.
General advice is always given to take good care of your skin and avoid habits such as smoking and excessive alcohol use.