Cheek Reduction (Bichectomy) 

Cheek reduction surgery which is known as Bichectomy involves the surgical removal of fat tissue in the cheeks. This procedure is performed with the aim of sharpening and enhancing facial features.

Defining Facial Features

Buccal fat, situated between cheekbones and jaw bones, plays a role in shaping the face. Buccal fat removal, also termed cheek reduction, is a surgical procedure designed to eliminate excess fat in this facial area. This surgery aims to emphasize bone structure, particularly enhancing cheekbones and defining the hollowed areas between the cheeks and jawline.

Buccal fat removal addresses the fat deposits in the face that contribute to facial contours. This surgery is considered a form of plastic surgery, and the decision to undergo it is highly personal. Individuals contemplating this procedure should carefully consider their motivations and weigh potential benefits against associated risks.

Ideal Candidates for Buccal Fat Removal

Candidates for buccal fat removal are individuals who:

• Desire Reduction in Cheek Fullness
• Seek a reduction in the perceived fullness or “chubbiness” of their cheeks.
• Maintain Overall Health and Stable Weight
• Are in good health with a stable weight.

Factors such as face width and age may influence candidacy, as buccal fat naturally diminishes with age.

Preoperative Procedures

Before undergoing buccal fat removal, individuals will:

• Consult with Healthcare Provider
• Discuss surgical goals, expectations, and potential outcomes with the healthcare provider.
• Physical Examination and Health Assessment
• Undergo a comprehensive physical examination, including photographs, blood pressure measurement, and a discussion of overall health, family history, and medications.

The Buccal Fat Removal Procedure

The surgical procedure involves:

• Anesthesia Administration

Local anesthesia to numb the facial skin, allowing patients to remain awake during the procedure. General anesthesia may be used for multiple concurrent procedures.

• Incision and Fat Pad Removal

Small incisions made inside the mouth expose buccal fat pads, which are then gently pressed on, cut, and removed.

• Incision Closure

Sutures, often dissolvable, are used to close incisions. Instructions for potential suture removal will be provided.

Postoperative Care and Recovery

After buccal fat removal, individuals can expect:

• Incision Care Instructions

Guidance from the healthcare provider on caring for incisions, including the potential use of a special mouth rinse.

• Dietary Adjustments

Transitioning from a liquid diet to soft foods, following provider recommendations.

• Postoperative Effects

Temporary swelling, bruising, and numbness at the incision sites, gradually subsiding during the healing process.

Healing Time

Typically around three weeks for initial recovery, with final results becoming evident over several months.

Risks and Benefits of Buccal Fat Removal Surgery

Risks associated with the procedure include:

• Infection
• Possibility of infection at the incision site.
• Nerve or Duct Injury
• Risk of facial nerve and/or salivary duct injury.
• Sensory Changes
• Temporary numbness or sensation changes.
• Potential asymmetry in facial appearance.

Recovery Timeline

Return to Normal Activities

Resumption of normal activities as approved by the healthcare provider, usually within a few days to a week.

Long-Term Recovery

Full recovery in about three weeks, with final results becoming apparent over several months.

Cheek Reduction Surgery (Bichectomy): Sculpting Facial Features

Cheek reduction surgery is typically conducted by plastic surgeons for aesthetic purposes. During the procedure, a small incision is made inside the cheek to remove the fat tissue in this area. As a result, the cheeks become slimmer, accentuating facial contours.

The surgery is generally performed under local anesthesia and typically takes about 1 hour. The recovery period usually spans a few weeks and may involve swelling and bruising. Upon completion of the healing process, you’ll attain more defined facial features and slimmer cheeks.

However, it’s essential to note that cheek reduction surgery is a surgical procedure and carries inherent risks. A thorough evaluation before the surgery and clear communication with your doctor are crucial.