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Bichectomy
Buccal Fat Pad Removal

Everything in life should be in order, this is also true for adipose tissue. While adipose tissue reflects a healthy and fuller image on our face, the excess causes beauty-destroying effects. The fat tissues that we removed in the bichectomy surgery, "Bichat's fat tissue", is a very good example to show the effects of fat tissues on this kind of beauty. Structurally, Bichat's adipose tissue is the fat tissue located in the deepest part of our cheeks, which has a slightly different structure from the fat tissues that swell and fall with weight gain.

This procedure, which has many names such as bichectomy, cheek aesthetics, Hollywood cheek, is the process of removing Bichat fat pads by surgical incisions made through the mouth. This procedure, which can be performed under local anesthesia, sedation and general anesthesia, takes approximately 20-25 minutes. Approximately 1 cm incisions are made through the mouth and the incision is closed by suturing after removing the adipose tissue. There is no visible scar after bichectomy surgery. Since the swelling and puffiness in the area of the removed adipose tissue are reduced, the desired attractive appearance is achieved on the cheeks.

Bichectomy Pros and Cons

  • There are no visible scars in bichectomy surgery.
  • The results of cheek aesthetics, even with weight gain, are permanent and give the face an appearance where the cheekbones are more prominent and the face is more aesthetic. For this reason, it is commonly referred to as the Hollywood cheek.
  • Over time, bichat fat tissues naturally decrease, so after this operation, there is a possibility that the cheekbones will appear hollow with aging.
  • If the surgeon removes too much adipose tissue from the cheek, an extremely thin face may appear with weight loss. In other words, in order to see the effect of this procedure, it is necessary not to act too aggressively and remove excess fat tissue.

Process and Effect After Bichectomy Surgery

Since bichectomy surgery is an outpatient treatment, the patient can return to his normal life immediately after the operation. Antibiotic treatment is applied to prevent the risk of post-operative infection and oral care products are used to care for the wound. There is usually no bruising after the surgery, but it is possible and normal to see edema on the cheeks after the procedure. The incision in the mouth applied during the surgery usually completely heals in the 1st week control.

Although the effect of bichectomy surgery is seen immediately, swelling and edema may overshadow the effect in the early period. The permanent effect of the surgery is seen in about 3-4 weeks.

Who are the best candidates for Buccal fat pad removal?

People who think that they have a round and thin face no matter how much weight they lose may be good candidates for bichectomy surgery. From time to time, people with very developed jaw muscles may have wide cheeks, and in these cases, bichectomy surgery alone will not benefit the patient. In patients with overdeveloped jaw muscles, the result will be much better if neurotoxin is applied to the jaw muscles together with the surgery. Bichectomy surgery is a permanent operation. There are no adipose tissues that can re-develop with weight gain, and weight loss does not affect the bichat fat pads.

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