Bichectomy (Cheek Fat Removal)

Minimally invasive procedure to reduce cheek fat pads (Bichat fat pads) for a slimmer and more defined facial appearance.

Bichectomy (Cheek Fat Removal)

Bichectomy - Hollywood Cheek

Certain proportions are important for a beautiful and aesthetic facial appearance. Bichectomy makes achieving these proportions quite easy.

A combination of full and hollow areas in proportion creates a more beautiful appearance. In modern beauty aesthetics, sharp and inverted triangle faces are considered more attractive than round features. Full cheeks appear cute in childhood but are less attractive after adolescence.

The ‘Bichat’ fat tissue, located deep in the face extending from the mouth corner to the cheekbone, gives the face its shape regardless of weight. Bichectomy reduces cheek fullness to define the cheekbones. The procedure known as the ‘Hollywood cheek’ is actually bichectomy, a surgical intervention performed by plastic and aesthetic surgeons.

How is Bichectomy Performed?

Bichectomy is performed under local or sedation anesthesia as a approximately 30-minute procedure with same-day discharge. It is done through a small incision inside the mouth. There is no visible scar on the outer cheek surface.

After surgery, cheekbones become more defined, creating a proportionate and triangular face shape. Final results appear within 1-3 months depending on healing.

Before Surgery

  • Stop alcohol and smoking 1 week before surgery.
  • Discontinue blood thinners like aspirin.
  • Inform your doctor about conditions like diabetes or hypertension.

After Surgery

Patients typically return to normal life within 14 days. Oral hygiene is crucial during this period.

  • Consume soft and cold foods for the first 3 days to minimize bleeding risk.
  • Gargle immediately after the procedure and maintain extra oral hygiene for at least 10 days.
  • Apply cold compresses every 4 hours for 3 days to reduce swelling.
  • Resume normal daily activities from day 5 and sports from day 14.

Frequently Asked Questions

Is bichectomy permanent?

Yes, the removed fat tissue does not return. However, weight gain can change facial appearance.

Does bichectomy rejuvenate or age some people?

In individuals with already full fat pads, it slims the face. In older patients or those with small fat pads, it may make the face look more mature; suitability assessment is important.

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