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Bichectomy, or buccal fat removal, is a cosmetic procedure aimed at reducing the fullness of the cheeks. It involves the removal of the buccal fat pads, which are responsible for the roundness in the lower cheeks. By selectively removing this fat, bichectomy can help create a more contoured and defined facial appearance. This procedure is particularly popular among individuals seeking a slimmer face shape or those who desire more prominent cheekbones. Bichectomy is a safe and effective option for achieving facial balance and enhancing facial features.


What is bichectomy?

Bichectomy, also known as buccal fat removal, is a surgical procedure that aims to reduce the size of the buccal fat pads in the cheeks. The buccal fat pads are located in the lower part of the cheeks and can contribute to a round or chubby facial appearance. Bichectomy is performed to create a more sculpted and contoured facial shape.

Who is a suitable candidate for bichectomy?

Suitable candidates for bichectomy are individuals who have full or chubby cheeks due to excess buccal fat, and desire a more defined facial contour. Good overall health, realistic expectations, and a consultation with a qualified plastic surgeon are important factors in determining if bichectomy is the appropriate procedure for you.

How is bichectomy performed?

Bichectomy is typically performed as an outpatient procedure under local anesthesia. The surgeon makes small incisions inside the mouth, usually between the cheek and gums, to access the buccal fat pads. The fat pads are carefully identified and selectively removed or reduced to achieve the desired result. The incisions are then closed with dissolvable sutures.

What is the recovery process like after bichectomy?

The recovery process after bichectomy is usually relatively quick. There may be some swelling, bruising, and discomfort in the cheek area for a few days to a week. Patients are advised to follow a soft diet and avoid vigorous chewing to allow for proper healing. Most individuals can resume normal activities within a few days, but it may take a few weeks for the swelling to fully subside and to see the final results.

Are there any risks or potential complications associated with bichectomy?

Like any surgical procedure, there are risks and potential complications associated with bichectomy. These can include infection, bleeding, injury to surrounding structures, scarring, changes in sensation, asymmetry, and dissatisfaction with the results. It’s important to choose a board-certified plastic surgeon experienced in performing bichectomy and discuss potential risks and complications with them. Following their pre- and post-operative instructions carefully can help minimize risks and achieve optimal results.

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