Bichectomy

What is a Bichectomy?

Bichectomy is the surgical removal of the Bichat fat pads on the inside of the cheeks. It is an aesthetic operation usually performed to clarify facial contours, highlight cheekbones and create a sharper jawline. This procedure is also popularly known as "Hollywood cheek".

Who is Bichectomy Suitable for?

Bichectomy is especially suitable for individuals who want to make their face look thinner and have more defined features. People with the following criteria may be candidates for this operation:

• Those with round or full facial features
• Those who want to emphasize their facial features, provided that they are not overweight
• Individuals in good general health
• People who are over 18 years of age and who are sure that their facial structure is fully formed

However, bichectomy may not be recommended for those with a very thin facial structure, as they may experience loss of facial volume at an advanced age.

How is Bichectomy Surgery Performed?

The bichectomy operation is usually performed under local anesthesia and takes 30-45 minutes on average. The stages of the surgery are as follows:

1. Anesthesia Practice: The patient is prepared for the procedure using local or general anesthesia.
2. Opening of Incisions Small incisions of about 1 cm are made on the inside of the cheeks.
3. Removal of Oil Cushions: The Bichat fat pads are carefully removed and the desired thinning is achieved.
4. Closure of Incisions The incisions are closed with melting sutures and the procedure is completed.

During this procedure, there is no external scarring because all interventions are done through the mouth.

Recovery After Bichectomy

Recovery after a bichectomy is usually fast and comfortable. However, there are some points that patients should pay attention to:

• First 24 hours: There may be swelling and mild pain. Painkillers recommended by the doctor can be used.
• Nutrition: Liquid or soft foods should be preferred for the first few days. Spicy and hard foods should be avoided.
• Hygiene Attention should be paid to oral hygiene. Mouthwash solutions recommended by the doctor should be used.
• Swelling and Edema: There may be swelling in the cheeks in the first few weeks. However, this condition decreases and disappears over time.
• Clarification of Results: After bichectomy, it usually takes 2-3 months for the facial contours to settle and the final result to appear.

Advantages and Disadvantages of Bichectomy

As with any aesthetic operation, bichectomy has its advantages and disadvantages. Here are some of them:

Advantages:

• It defines facial contours and provides a sharper and more aesthetic appearance.
• It is a permanent procedure, there is no fat accumulation again.
• The surgery leaves no scars because the incisions are made through the mouth.
• The healing process is quick and usually painless.

Disadvantages:

• With aging, the face may lose volume and this may create a more sunken appearance.
• It may not be suitable for people with a very thin face structure.
• As with any surgical intervention, there is a risk of infection and bleeding.
• It may take several months to see the full results.

Conclusion

Bichectomy is an effective and permanent aesthetic operation for people who want to clarify their facial features. However, as with any surgical procedure, this operation has its pros and cons. You should consult a specialized plastic surgeon to determine whether you are the ideal candidate and to get the best result.