Bichectomy

Bichectomy, or bichatectomy, is a surgical procedure to partially remove the “Bichat ball” (buccal fat pads), pockets of fat in the cheek, aiming to slim the face and define the cheekbones. The surgery lasts about 40-60 minutes, with internal incisions in the mouth, and is a low-risk procedure, but requires precise indication.

Bichectomy is the removal of the Bichat fat pad, an adipose tissue located in the region between the maxilla and the mandible, whose size may be genetic or result from weight gain, resulting in prominent cheeks.

The goal is to reduce “full” cheeks, slim the face, harmonize the facial contour, and highlight the cheekbones.

It improves chewing in patients who frequently bite the inside of their cheeks.

How it is done: The procedure is performed under local anesthesia or sedation, through small incisions (about 1 to 2 cm) inside the mouth, leaving no visible scars.

Recovery and Care: Discharge is on the same day. A cold and liquid/paste-like diet is recommended for the first few days, avoiding physical exertion and practicing rigorous oral hygiene.

The procedure is commonly sought to “slim the face,” but an evaluation by a specialist (dentist or plastic surgeon) is essential to determine whether the volume of the cheeks justifies the procedure.

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