Bichectomy: Buccal fat removal

Before surgery, the doctor will assess your facial structure and explain how removing the Bichat fat pads will affect your appearance. It’s important to ensure that this procedure is suitable for your facial features.

The procedure is performed under local anesthesia, meaning you will be awake but feel no pain. This also helps reduce recovery time and the risks associated with general anesthesia.

The surgeon makes a small incision inside each cheek, leaving no visible scars. Through these incisions, the Bichat's fat pads are carefully removed.

After the fat pads are removed, the incisions are closed with self-dissolving sutures, which will dissolve on their own in a few days.

Bichectomy is performed under local anesthesia, so you won't feel any pain during the surgery. After the procedure, there might be some discomfort, but it is generally mild and can be managed with over-the-counter pain relievers.

Since the incisions are made inside the cheeks, there are no visible external scars. Any scarring will be internal and typically heals without noticeable marks.

No, bichectomy targets the removal of fat pads that cannot be reduced through diet or exercise. While weight loss may reduce facial fullness, the fat pads in the cheeks that cause a rounded appearance need to be surgically removed.

The results are visible almost immediately after the procedure, though you may experience some swelling that could take a few weeks to subside. The final results will be apparent after a couple of months when the swelling fully diminishes.

Yes, the results of a bichectomy are generally permanent, as the fat pads that are removed do not regenerate. However, facial changes due to aging or weight fluctuations can affect the overall appearance over time.

The risks associated with buccal fat removal include:

• Infection: As with any surgical procedure, there is a risk of infection if proper hygiene conditions are not maintained.
• Bleeding: Although rare, excessive bleeding may occur during or after the procedure.
• Hematomas: It is common to experience bruising or swelling in the cheek area following the procedure.
• Facial asymmetry: There is a possibility that the results may not be perfectly symmetrical, which could affect the final aesthetic outcome.
• Damage to facial nerves: In rare cases, there may be temporary or permanent damage to the nerves, which could affect facial movement or sensitivity.
• Overly thin facial appearance: In some cases, removing too much fat may lead to an excessively slim or aged look, which may not be aesthetically pleasing.
• Pain or discomfort: Some pain or discomfort may be experienced during the healing process.

Yes, bichectomy can give a more youthful appearance by creating a more sculpted face with defined cheekbones. By removing excess fat from the lower cheeks, it can make the face appear slimmer and more angular, which is often associated with a youthful look.

Bichectomy does not affect your smile or facial functionality. Since the fat pads are removed from inside the cheeks, there is no impact on the muscles that control facial expressions or movement.

Bichectomy is not reversible, as the fat pads are permanently removed during the procedure. However, if you wish to modify the result later on, revision surgery can be performed, although it may not restore the fat pads entirely.

If you gain or lose weight after the procedure, it can affect the overall appearance of your face, but the cheeks should remain slimmer compared to before the surgery. However, significant weight fluctuations may change your facial proportions, so it’s best to maintain a stable weight for long-lasting results.

It is recommended to avoid intense physical activity for at least 7 days after the procedure to allow for proper healing. After the first week, you can gradually return to your normal exercise routine, but always follow your surgeon’s advice based on your specific recovery process.

No, there are no non-surgical methods to remove the Bichat fat pads. While cosmetic treatments like facial liposuction or injectables can create a temporary slimming effect, surgery is the only permanent solution to remove the fat pads.

In most cases, a single bichectomy is sufficient to achieve the desired results. However, if you feel the results are not as expected or if the fat pads regenerate (which is rare), a second procedure may be considered. This should be discussed thoroughly with your surgeon.