Some people are uncomfortable with the size of their cheeks. The Bichat ball or buccal adipose body is a structure composed of fat, located on the face, in the region of the cheeks. When increased, this fat can change the shape of the face, making it more rounded, which can give the impression that the person is overweight or has a childish appearance. In some cases, this can affect self-esteem and confidence.

Surgery to remove excess Bichat ball is called bichectomy and promotes the reduction of the cheeks. This surgery has become popular in India recently. Famous people, like some Hollywood actors, are fans of this type of surgery and contributed to its spread.

Bichectomy is a relatively simple procedure, but the removal of fat requires care because it is a delicate area, between nerves and salivary channels. Through incisions measuring 1.0 to 2.0 cm, on the inside of each cheek, the fat is pulled and extracted. The amount of fat removed varies according to each case.

Only a plastic surgeon can indicate this type of procedure. Often the cause of a wider face can be due to hypertrophy of the masseter muscle (chewing muscle), treated with botulinum toxin application, or the accumulation of fat below the chin (double chin), treated with liposuction. In addition, if there is sagging of the skin, a facelift is the most suitable.

Surgical technique

  • Marking the location of the incisions on the inside of the cheeks.
  • Antisepsis + anesthesia.
  • A 1.0 to 2.0 cm incision in the mucosa inside the mouth, on the inside of each cheek.
  • Identification and dissection of the Bichat ball (always careful not to injure important structures such as nerves and the parotid duct).
  • Gently pulling the fat out of the incision.
  • Resection of excess fat, being careful not to remove too much.
  • Cauterization with an electric scalpel to prevent bleeding.
  • Closure of operative wounds.

COMMON QUESTIONS

Cheek Reduction (bichectomy): Indication

Bichectomy is a plastic surgery indicated for young women and men, who have a rounded face, with protruding cheeks, who wish to acquire a thinner and slimmer face, with more prominent or defined cheekbones.

From what age is bichectomy recommended?

Over 18 years.

What type of anesthesia is used in bichectomy?

Local with sedation, but general anesthesia can also be done.

How long does the surgery take?

About 40 minutes.

What is the length of stay?

Few hours of hospitalization. The patient is released the same day.

When can stitches be withdrawn?

Stitches are absorbable and do not need to be removed.

Are there risks during or after plastic surgery?

Postoperative complications are rare. Among them, we can mention: bleeding, hematoma, infection, stitch dehiscence, nerve injury, salivary duct injury (parotid duct), asymmetry, etc. The face may become even thinner if the patient loses weight. There is also concern about the increase in facial sagging, which already occurs with aging.

Cheeck Reduction (Bichectomy) – Result

A definitive result occurs after about 6 months. The scars are hidden inside the mouth. The end result is a thinner, slimmer-looking face.