Bichectomy, commonly referred to as buccal fat removal, is a cosmetic surgical procedure aimed at enhancing facial aesthetics by reducing cheek fat.
It has gained popularity among individuals seeking a slimmer, more defined face. But what does the procedure entail, and is it the right choice for you?
In this article, we’ll explore the details of bichectomy, its benefits, risks, recovery process, and much more.
What is Bichectomy?
It is a surgical procedure that removes the buccal fat pads, small pockets of fat located in the lower cheeks.
This removal creates a more contoured appearance, particularly enhancing the definition of the cheekbones and jawline.
How is Bichectomy Performed?
- Procedure Duration: It typically takes 30 to 60 minutes.
- Anesthesia: Local anesthesia is used to ensure comfort.
- Surgical Steps:
- A small incision is made inside the cheek.
- The buccal fat pads are carefully removed.
- The incision is closed with dissolvable stitches.
Since the incisions are made inside the mouth, there are no visible scars.
When is Bichectomy Necessary?
While primarily cosmetic, it can also address functional concerns, such as frequent cheek biting caused by overly full cheeks. You might consider this procedure if:
- You desire a slimmer, more contoured face.
- You feel your cheeks are disproportionately full.
- You experience functional issues due to excess cheek fat.
Benefits of Bichectomy
- Enhanced Facial Contour: Achieve a slimmer face and more prominent cheekbones.
- Improved Jawline Definition: Create a sharper, more balanced facial profile.
- Minimally Invasive: The procedure is quick and relatively low-risk when performed by a skilled Maxillofacial surgeon.
- Boosted Confidence: Many patients report increased self-esteem due to improved facial aesthetics.
Risks and Side Effects
As with any surgery, buccal fat removal carries potential risks:
- Swelling and bruising post-procedure.
- Temporary numbness or discomfort.
- Infection (rare if proper aftercare is followed).
- Over-removal of fat, potentially leading to a hollowed appearance as you age.
Ideal Candidates for Bichectomy
The procedure is best suited for:
- Individuals with round or full faces due to excess buccal fat.
- Adults in good overall health with realistic expectations.
- Those who are not significantly overweight, as overall weight impacts facial fullness.
Who Should Avoid Bichectomy?
- Patients with thin or narrow faces, as further fat reduction may lead to premature aging.
- Individuals with medical conditions like diabetes or bleeding disorders.
- Those expecting drastic, dramatic changes rather than subtle contouring.
Recovery Process
- Initial Days: Swelling and mild discomfort are common. Use prescribed medications for pain and inflammation.
- Diet: Stick to soft foods and avoid spicy or acidic items.
- Oral Hygiene: Use a medicated mouthwash to prevent infection.
- Full Recovery: Most swelling subsides within a few weeks, but the final results are visible after several months.
Cost of Bichectomy
The price varies depending on factors like the surgeon’s expertise, clinic location, and additional fees. In the U.S., bichectomy typically ranges from $2,000 to $5,000.
FAQs
Does bichectomy permanently slim the face?
Yes, it provides permanent results as the buccal fat pads do not regenerate. However, significant weight gain can still affect facial appearance.
What is the difference between bichectomy and cheek liposuction?
While both aim to contour the face, bichectomy removes buccal fat pads, whereas cheek liposuction targets overall fat in the cheek area.
Can bichectomy improve jawline definition?
Yes, removing buccal fat enhances cheekbones and makes the jawline appear sharper.
Is bichectomy safe for all ages?
The procedure is generally recommended for individuals aged 18 to 40. Younger patients may still experience natural fat loss, while older individuals risk a hollowed look due to aging.
How long does it take to see results from a bichectomy?
Initial results are visible once the swelling subsides (2–3 weeks), but full results take about 3–6 months.
Are there non-surgical alternatives to bichectomy?
Non-surgical options like dermal fillers or facial contouring with makeup can temporarily enhance facial definition without surgery.
What are the long-term risks of buccal fat removal?
Over time, a natural loss of facial fat combined with bichectomy can result in a prematurely aged appearance. Consult your surgeon for tailored advice.
Can bichectomy and rhinoplasty be performed together?
Yes, combining both procedures is common to achieve a harmonious facial profile.
How does bichectomy compare to other facial contouring surgeries?
It is minimally invasive compared to more extensive surgeries like facelifts or cheek implants, making it a popular choice for subtle enhancements.
What should I eat after a bichectomy?
Stick to soft, bland foods like soups, mashed potatoes, and yogurt for the first week to aid recovery and minimize discomfort.
Can I undergo a bichectomy if I have braces?
It’s best to wait until orthodontic treatment is complete, as braces may impact the surgery and recovery process.
Is bichectomy reversible?
No, the procedure is not reversible, so it’s essential to carefully consider your decision and consult a qualified surgeon.