Buccal fat removal, also known as bichectomy or buccal lipectomy, is a cosmetic surgical procedure designed to reduce the prominence of the cheeks by removing the buccal fat pads. This procedure aims to create a more contoured and sculpted facial appearance, often enhancing the definition of the cheekbones and the overall facial structure. Here’s a detailed overview:

What is Buccal Fat Removal (Bichectomy)?

Buccal fat removal involves the surgical excision of the buccal fat pads, which are located in the lower part of the cheeks, between the facial muscles. These fat pads can contribute to a round or “chubby” facial appearance. By removing part of these fat pads, the procedure can slim the face and enhance the contours of the cheeks and jawline.

Indications for Buccal Fat Removal:

  • Aesthetic Concerns: Individuals seeking a slimmer, more defined facial appearance.
  • Genetic Predisposition: Those with naturally fuller cheeks due to genetics, regardless of overall body weight.
  • Desire for Enhanced Contours: Individuals looking to highlight their cheekbones and achieve a more sculpted look.

Procedure:

  1. Initial Consultation:
    • Assessment: The surgeon evaluates the patient’s overall health, facial structure, and specific concerns.
    • Discussion: The patient discusses their desired outcomes, and the surgeon explains the procedure, potential risks, and recovery process.
  2. Pre-Operative Preparations:
    • Anesthesia: The procedure is typically performed under local anesthesia with sedation or general anesthesia.
    • Marking: The surgeon may mark the areas where incisions will be made, though these are generally inside the mouth and not externally visible.
  3. Surgery:
    • Incisions: Small incisions are made inside the mouth, on the inner cheek.
    • Fat Pad Removal: Through these incisions, the surgeon carefully excises a portion of the buccal fat pads.
    • Closure: The incisions inside the mouth are closed with dissolvable sutures.

Recovery:

  1. Immediate Post-Operative Care:
    • Monitoring: The patient is monitored in a recovery area until they are stable.
    • Diet and Oral Hygiene: Patients are advised to follow a soft diet and maintain good oral hygiene to prevent infection.
  2. Short-Term Recovery:
    • Swelling and Bruising: Swelling and mild bruising are common and usually subside within a few weeks.
    • Pain Management: Pain and discomfort are managed with prescribed medications.
    • Activity Restrictions: Patients are advised to avoid strenuous activities, heavy lifting, and actions that could strain the facial muscles for several weeks.
    • Follow-Up Appointments: Regular check-ups are scheduled to monitor healing and address any concerns.
  3. Long-Term Recovery:
    • Final Results: The final results may not be fully apparent until several months after surgery, as the swelling gradually decreases.
    • Scar Management: Scarring is minimal as the incisions are made inside the mouth and are not visible.

Benefits of Buccal Fat Removal:

  • Improved Facial Contours: Creates a slimmer, more sculpted facial appearance.
  • Enhanced Definition: Highlights the cheekbones and jawline.
  • Boosted Self-Esteem: Improved facial aesthetics and self-confidence.

Suitability:

  • Good Candidates: Individuals in good overall health with realistic expectations, who are looking to reduce the fullness of their cheeks.
  • Stable Weight: Candidates should have a stable weight, as significant weight fluctuations can affect the results.
  • Non-Smokers: Smoking can impair healing and increase the risk of complications.

Summary

Buccal fat removal, or bichectomy, is an effective cosmetic procedure for those seeking a slimmer, more contoured facial appearance by reducing the fullness of the cheeks. Consulting with a board-certified plastic surgeon is essential to discuss individual goals, potential risks, and the best approach for achieving the desired results. This ensures that the procedure is tailored to meet the patient’s specific aesthetic needs while minimizing risks.

 

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    Buccal Fat Removal FAQ
    What is buccal fat removal?
    Buccal fat removal is a cosmetic surgical procedure that involves the removal of excess fat pads located in the cheeks, known as buccal fat pads. This procedure aims to create a slimmer, more contoured appearance in the cheeks and lower face.
    Who is a candidate for buccal fat removal?
    Candidates for buccal fat removal are individuals who have full or chubby cheeks due to excess fat in the buccal fat pads, which may give the appearance of a round face or "chipmunk cheeks." Ideal candidates should have good skin elasticity and realistic expectations about the outcome of the procedure.
    How is buccal fat removal performed?
    Buccal fat removal is typically performed under local or general anesthesia, depending on the surgeon's preference and the patient's comfort level. During the procedure, a small incision is made inside the mouth, near the back of the cheek, to access the buccal fat pads. The surgeon then carefully removes a portion of the fat pads before closing the incision with dissolvable sutures.
    Is buccal fat removal a painful procedure?
    While discomfort and swelling are common after buccal fat removal, the procedure itself is not typically painful due to the use of anesthesia. Patients may experience some soreness and swelling in the cheeks for a few days to weeks following the surgery, but this can be managed with pain medication and cold compresses.
    What is the recovery process like after buccal fat removal?
    Recovery from buccal fat removal varies from person to person but generally involves wearing compression garments to minimize swelling and support the treated areas. Most patients can resume normal activities within a few days but should avoid strenuous exercise and certain foods that require extensive chewing for several weeks.
    Are the results of buccal fat removal permanent?
    The results of buccal fat removal are generally permanent, as the fat pads that are removed do not typically regenerate. However, factors such as aging, weight fluctuations, and changes in skin elasticity can affect the long-term outcome of the procedure.
    Can buccal fat removal be combined with other cosmetic procedures?
    Yes, buccal fat removal can be combined with other cosmetic procedures such as facelift, neck lift, chin augmentation, or liposuction to enhance overall facial harmony and contouring. Your surgeon can discuss the appropriate combination of procedures to achieve your desired aesthetic goals.