Bichectomia, also known as buccal fat removal, is a cosmetic surgical procedure that has gained popularity in recent years. It involves the removal of fat pads located in the lower cheek area, which can result in a more contoured and defined facial appearance. This article will delve into the details of bichectomia, exploring its purpose, procedure, benefits, risks, and recovery process.
Understanding Bichectomia
Definition and Purpose
Bichectomia is a minimally invasive surgical procedure aimed at reducing the fullness of the cheeks. The primary purpose of this surgery is to enhance facial aesthetics by creating a slimmer and more sculpted look. It is particularly sought after by individuals who have round or chubby cheeks, often due to genetics, and desire a more defined facial structure.
Anatomy of Buccal Fat Pads
Buccal fat pads are located in the lower part of the cheeks, between the facial muscles. These fat pads contribute to the roundness and fullness of the face. While they play a role in facial contour during childhood, they often persist into adulthood, leading some individuals to seek their removal for cosmetic reasons.
The Bichectomia Procedure
Preoperative Consultation
Before undergoing bichectomia, a thorough consultation with a qualified plastic surgeon is essential. During this consultation, the surgeon will assess the patient’s facial structure, discuss their aesthetic goals, and review their medical history. This step ensures that the patient is a suitable candidate for the procedure and understands the potential outcomes and risks.
Surgical Technique
The bichectomia procedure is typically performed under local anesthesia with sedation or general anesthesia, depending on the patient’s preference and the surgeon’s recommendation. The surgery involves the following steps:
Incision: A small incision, about 1 to 2 centimeters long, is made inside the mouth on each side of the cheek. This incision allows access to the buccal fat pads.
Fat Pad Removal: The surgeon gently extracts the buccal fat pads through the incisions. The amount of fat removed varies based on the patient’s facial anatomy and desired outcome.
Closure: The incisions are closed with dissolvable sutures, minimizing the risk of visible scarring.
Duration and Complexity
Bichectomia is a relatively quick procedure, usually taking about 30 minutes to an hour to complete. It is considered a straightforward surgery with a low risk of complications when performed by an experienced surgeon.
Benefits of Bichectomia
Enhanced Facial Contouring
One of the primary benefits of bichectomia is improved facial contouring. By removing the buccal fat pads, the cheeks appear less full, resulting in a more defined and sculpted appearance. This can enhance the overall balance and harmony of facial features.
Boosted Confidence
Many individuals who undergo bichectomia report a significant boost in self-confidence. Achieving their desired facial aesthetics can lead to increased satisfaction with their appearance, positively impacting their self-esteem and social interactions.
Permanent Results
The results of bichectomia are permanent, as the removed buccal fat pads do not regenerate. This makes it a long-lasting solution for individuals seeking to maintain a slimmer facial profile.
Risks and Considerations
Potential Complications
While bichectomia is generally safe, like any surgical procedure, it carries some risks. Potential complications may include:
Infection: There is a risk of infection at the incision sites, though this is rare with proper postoperative care.
Bleeding: Some bleeding during and after the procedure is normal, but excessive bleeding is uncommon.
Nerve Damage: In rare cases, damage to the facial nerves can occur, leading to temporary or permanent facial muscle weakness.
Over-Resection Concerns
Over-resection of buccal fat pads can result in a hollow or gaunt appearance, which may be undesirable. It is crucial to choose an experienced surgeon who can balance achieving a contoured look without removing too much fat.
Recovery and Downtime
Recovery from bichectomia is typically smooth, with most patients resuming normal activities within a week. Swelling and mild discomfort are common in the initial days post-surgery, but these symptoms subside gradually. Adhering to postoperative care instructions, such as maintaining oral hygiene and avoiding strenuous activities, can aid in a swift recovery.
The Ideal Candidate for Bichectomia
Age and Health Considerations
Bichectomia is suitable for adults in good overall health. Ideal candidates are those who have realistic expectations and understand the limitations and potential risks of the procedure. The surgery is not recommended for individuals with certain medical conditions or those who are significantly overweight.
Aesthetic Goals
Candidates for bichectomia often have specific aesthetic goals, such as reducing the fullness of their cheeks or achieving a more contoured facial appearance. It is important for patients to communicate their desires clearly to the surgeon during the consultation.
Comparing Bichectomia to Other Facial Contouring Procedures
Liposuction vs. Bichectomia
Liposuction is another procedure used for facial contouring, but it differs from bichectomia. While liposuction targets excess fat deposits in various areas of the face and neck, bichectomia specifically removes buccal fat pads. The choice between the two procedures depends on the individual’s unique facial anatomy and aesthetic goals.
Non-Surgical Alternatives
For those hesitant about surgery, non-surgical alternatives such as facial fillers or Botox injections can provide temporary contouring effects. However, these treatments do not offer the same level of permanent results as bichectomia.
See also: Is Buccal Fat Removal Safe?
Postoperative Care and Long-Term Maintenance
Immediate Aftercare
Proper postoperative care is essential for a smooth recovery and optimal results. Patients are advised to follow these guidelines:
Oral Hygiene: Maintaining good oral hygiene is crucial to prevent infection. Patients should rinse their mouths with antiseptic solutions as directed by their surgeon.
Diet: A soft diet is recommended for the first few days to avoid putting pressure on the incision sites.
Avoiding Physical Strain: Strenuous activities should be avoided during the initial recovery period to prevent complications.
Long-Term Results
The long-term success of bichectomia depends on factors such as maintaining a stable weight and adhering to a healthy lifestyle. Significant weight gain can affect the results, as fat distribution in the face may change.
Psychological and Social Impact of Bichectomia
Improved Self-Image
Many individuals who undergo bichectomia experience an improved self-image and greater satisfaction with their appearance. This boost in confidence can positively impact various aspects of their lives, including personal relationships and professional opportunities.
Societal Perceptions
Society’s emphasis on facial aesthetics can influence individuals’ decisions to undergo procedures like bichectomia. While personal satisfaction is the primary goal, societal perceptions and beauty standards can play a role in the decision-making process.
Cost and Accessibility of Bichectomia
Cost Factors
The cost of bichectomia can vary based on factors such as the surgeon’s experience, geographic location, and the complexity of the procedure. On average, the cost ranges from $2,000 to $5,000. It is important for patients to consider the surgeon’s qualifications and the quality of care when evaluating costs.
Insurance Coverage
Bichectomia is typically considered an elective cosmetic procedure and is not covered by insurance. Patients should be prepared to cover the costs out-of-pocket or explore financing options if needed.
Conclusion
Bichectomia, or buccal fat removal, is a cosmetic surgical procedure designed to enhance facial aesthetics by removing fat pads from the cheeks. It offers benefits such as improved facial contouring, boosted confidence, and permanent results. However, it also carries risks and considerations that should be carefully evaluated. Individuals considering bichectomia should consult with a qualified plastic surgeon to discuss their goals, assess their candidacy, and make an informed decision. With proper care and realistic expectations, bichectomia can be a rewarding procedure that contributes to a more sculpted and defined facial appearance.
Related topics:
Why Is Buccal Fat Removal So Popular?
What Is It Like Before And After Fat Removal Surgery?
Can I Remove Buccal Fat Naturally?
