Bichectomy

Bichectomy

Bichetomy, also known as buccal lipectomy or cheek reduction surgery, is a cosmetic procedure that aims to reduce fullness in the lower cheeks by removing some of the buccal fat pads. This procedure, which aims to provide a more contoured and defined appearance to the cheeks and midface, can be performed under general or local anesthesia.

About Bichectomy

Facial fat and fullness are not always proportional to the total body fat. In such cases, patients may resort to this procedure to achieve a more proportional and sculpted result.  One of the popular names for this procedure is Hollywood Cheeks.
 

How the Procedure Works
Local anesthesia or general anesthesia is applied according to the patient's preference or the surgeon's recommendation.  With the help of a small incision in the mouth between the cheek or gums, some of the buccal fat pads are either directly removed or the fat is reshaped and excised. In this procedure, there is no visible scar on the face as the incision marks are positioned inside the mouth. The incisions in the mouth are closed with self- dissolving sutures so there is no need to remove sutures.
 

Alternative Approaches to Bichectomy 

Bichectomy is a surgical procedure. Patients who do not prefer surgical approaches or who have concerns may turn to procedures that can be an alternative to bichectomy and can achieve similar results to bichectomy.  However, these procedures should be planned according to the suitability of the case and the recommendations of your surgeon.  These non-surgical procedures can be applied on their own or combined together to create a contoured facial line in appropriate cases.
 

Some non-surgical procedures are:

Dermal Filler

Hyaluronic acid-based fillers can be injected into targeted areas to create facial contour. Thus, the desired sculpted and defined facial expression can be achieved without removing any tissue. Massetter Botox: A more refined expression and a more defined jawline can be achieved by targeting enlarged massetter muscles. Thread Lift: Facial thread lift, which has techniques such as POD lift, and French Lift, is a minimally invasive procedure that uses dissolvable threads to lift and tighten the skin. By strategically placing these threads, the face can be sculpted and lifted, resulting in a more defined appearance.
 

Before and After

You can access the pictures of the real results and natural transformations of individuals who have undergone bichectomy procedure here. Checking these results before having a bichectomy will help you have an idea about the possibilities that are waiting for you. Here are some before and after pictures of the procedure.

FAQs

Frequently asked questions and answers about bichectomy are as follows. You can contact us to get information on other questions and answers about bichectomy. You can get the best answer to all your questions by getting a free consultation from our experienced team. The answers provided for the bichectomy procedure may vary based on the patient.

1
What is a bichectomy?

Bichectomy is a plastic surgery procedure that provides slimmer and sharper contours to the face by removing the buccal fat tissue in the cheeks.
 

2
Who is eligible for a bichectomy?

This operation is suitable for individuals with sharper facial features and no health problems. However, since each individual's situation is different, it is important to consult a doctor before the operation.
 

3
How long does a bichectomy surgery take?

Bichectomy surgery can be performed under general or local anesthesia. Depending on the person, it may take between 30 minutes and 1 hour.
 

4
Will there be any scars after bichectomy?

In the bichectomy operation, the fat pockets are removed from inside the mouth. Therefore, the incisions are inside the mouth and invisible to the eye.

 

5
When can I resume daily activities after a bichectomy?

Most patients can resume their normal activities a few days after the operation. The type of anesthesia used is also a factor in the recovery process. Your doctor will inform you in detail about the recovery process after the procedure.
 

6
Will I have any problems eating or speaking after a bichectomy?

Immediately after the procedure, it is necessary to eat soft foods for a few days. However, this is part of the recovery process and you can resume your normal eating routine after a while. Your speech abilities are not affected by the bichectomy.
 

7
When do I start to see results after a bichectomy

Swelling and physical discomfort after bichectomy usually disappear within a few weeks. However, you may need to wait at least 3 months for final results.

 

8
Can I have buccal fat removal while I have implants/ dermal fillers on my face?

It is not preferred to have these procedures at the same time due to unpredictable results and potential complications. However, if you want to improve the results even more, there is no harm in having them done at different times in line with the advice of your surgeon.
 

9
Will buccal fat removal affect my smile and other facial expressions?

If too much buccal fat is removed or the procedure is not performed properly, a sunken expression may appear on the cheeks, which can affect many facial expressions, including your smile. The priority of a caring and experienced surgeon is to achieve thinning of the cheeks while at the same time maintaining the structure of the natural appearance.
 

10
Does buccal fat removal cause nerve damage?

An experienced and good surgeon will avoid damaging the buccal branch of the facial nerve as a priority during buccal fat removal because this nerve is responsible for controlling the movements of the muscles in the cheeks and plays an important role in facial expressions, especially smiling. It is very important to choose a qualified and good surgeon for this operation.
 

11
How long after buccal fat removal can I eat

The recovery time after surgical operations is unique for each case. Generally, after buccal fat removal, you will undergo a progressive recovery process, starting slowly with liquids and then adding soft foods to your food list. You can contact your medical consultant for detailed post-operative instructions.
 

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