Procedure | Surgical
Bichectomy (Buccal Fat Removal)
Bichectomy is an aesthetic facial procedure that consists of Bichat’s adipose bag remover, located in two fat compartments inside the cheeks. It is the extraction of grouped fat tissues in cheeks in order to have a slimmer and better-looking face.
Bichectomy makes a small incision on the inside of the cheeks, near the fat bags, and once the surgeon localized, removes them and completes their extraction to then suture the wound.
A quick procedure, that typically does not last more than an hour to be completed. The procedure is not dangerous and can have effective results.
Before Treatment
• No alcohol for 2 days prior.
• Stop smoking 4 weeks before and after.
• Do not take blood thinning medication.
• Do not eat or drink for 6 hours before.
• Do not wear a make up on the surgery day.
The procedure will be performed under local anesthesia. During the operation, the fat pad will be reached and extracted through the incisions made from the inside of the cheeks. After that 1-2 absorbable sutures will be placed and the operation will be finalized. The procedure may take about 30 – 45 minutes
There is no need for any wound dressing before or after the operation. There is no need to stay in the hospital they can be discharged right after the operation.
An oral care will be applied by mouthwash and antibiotic therapy for few days after the Buccal Fat Removal operation.
It is recommended to be fed with liquid foods on the first post-operative day. There are no restrictions on eating and drinking except on the first day.
There will be no bruise and swelling after the operation. Even if there was a light edema in the first few days it will dissapear in 2-3 weeks completely and The result of the operation will become visible.
Although the results of the first postoperative period do not fully manifest due to the occurrence of edema, this may vary from person to person and usually becomes visible after 3 weeks.
During the bichectomy operation, the fat cushions in the cheek are removed. If a person has lost weight or gained weight, fat tissue is not collected in this region as before.
Possible risks of buccal fat removal surgery include, but are not limited to:
Bleeding
Infection
Poor healing of incisions
Hematoma
Anesthesia risks
Fluid accumulation (seroma)
Numbness
Prolonged swelling
Injury to a salivary duct
Asymmetry
Possibility of revisional surgery
Persistent pain
