Bichectomy: A Patient-Friendly Guide
Overview of the Procedure
A bichectomy is a minimally invasive surgical procedure that removes the buccal fat pads from the cheeks to create a slimmer and more contoured facial appearance.
Why is it performed?
To enhance facial definition by reducing lower cheek fullness.
To improve facial symmetry.
For individuals who feel their cheeks are too round or chubby.
Type of Procedure
Minimally invasive surgery: Performed through small incisions inside the mouth.
Alternative treatments:
Dermal fillers for facial contouring.
Facial liposuction (more invasive).
Facial exercises (less effective, natural method).
Benefits of the Procedure
Conditions Addressed
Full or chubby cheeks.
Lack of facial definition or contour.
Disproportionate cheek-to-face ratio.
Expected Improvements
A slimmer, V-shaped face appearance.
Boost in self-confidence due to enhanced facial profile.
Permanent results – buccal fat doesn’t grow back.
Success Rates & Effectiveness
High patient satisfaction when done by a skilled surgeon.
Results are long-lasting and low-maintenance.
Preparation Before the Procedure
Pre-Procedure Requirements
Avoid food and drink 6–8 hours before surgery (if under general anesthesia).
Stop blood thinners (like aspirin or ibuprofen) as instructed.
Disclose medical history and allergies to the surgeon.
Lifestyle Adjustments
Stop smoking at least 2 weeks before surgery.
Eat a balanced diet to aid healing.
Medical evaluation: Consultation and tests may be required.
Step-by-Step Description of the Procedure
How It’s Performed
Anesthesia: Local with sedation or general anesthesia.
Incision: Small cuts made inside the mouth.
Fat Pad Removal: Buccal fat pads are gently removed.
Suturing: Dissolvable stitches are used.
Procedure Duration
30 to 45 minutes.
Risks and Potential Complications
Common Side Effects
Swelling, bruising, mild pain.
Temporary numbness or cheek sensitivity.
Possible Complications
Infection (treatable with antibiotics).
Asymmetry if uneven fat is removed.
Facial nerve injury (very rare).
Risk Factors
Smoking, poor diet, or chronic health issues like diabetes.
Recovery and Aftercare
Expected Recovery Timeline
0–2 days: Swelling and discomfort peak.
1–2 weeks: Major swelling reduces.
3–6 months: Final results become visible.
Pain Management
Paracetamol or acetaminophen (avoid NSAIDs unless approved).
Cold compresses to ease swelling.
Activity Restrictions
No heavy lifting or workouts for 1–2 weeks.
Soft food diet for the first few days.
Good oral hygiene to prevent infection.
Follow-Up Appointments
Usually within a week to monitor healing and suture area.
Long-Term Outcomes and Lifestyle Considerations
How Long Do Results Last?
Permanent – fat pads do not grow back.
Lifestyle Tips for Lasting Results
Maintain stable body weight.
Avoid smoking and excessive alcohol.
Practice good skincare.
Maintenance Treatments
Rarely needed unless further contouring is desired.
Frequently Asked Questions (FAQs)
Most patients return to work in 3–5 days.
Additional Patient Resources
Trusted Medical Sources
American Society of Plastic Surgeons: www.plasticsurgery.org
Mayo Clinic: www.mayoclinic.org
Support Groups & Testimonials
Online communities like Reals elf and cosmetic surgery forums can offer support and real-life stories.