Bichectomy, also known as buccal fat removal, is a cosmetic surgical procedure that enhances facial appearance and can make individuals look younger. This procedure aims to create more prominent cheekbones and a slimmer facial contour in both men and women seeking aesthetic improvements.

Who is an Ideal Candidate for Buccal Fat Removal (Bichectomy)? To be considered a suitable candidate for bichectomy (buccal fat removal), the patient should:

• Have a normal weight.
• Possess a round facial shape.
• Be at least 18 years of age.
• Bichectomy can be performed on both men and women. However, it’s generally not recommended for patients who are overweight, obese, or over the age of 45.

The effects of bichectomy can vary from person to person, making it crucial for the doctor to conduct a detailed evaluation to ensure the best possible outcome.

Procedure for Bichectomy (Buccal Fat Removal): Bichectomy is typically performed as an outpatient procedure using local anesthesia. Preoperative mouth hygiene is essential to prevent postoperative infection.

During the procedure:

1. The surgeon makes a small incision near the fat pads in the cheeks.
2. Local anesthesia is administered.
3. Using forceps, the surgeon removes the fat tissue pads, known as buccal fat, to create a more natural appearance.
4. After removing the fat pads, the area is sutured.
5. This process is performed on both cheeks.
6. A compressive bandage is applied by the surgeon.
7. The entire bichectomy procedure typically takes between 30 to 45 minutes, and patients are usually discharged on the same day.

Preoperative and Postoperative Considerations for Bichectomy:

Before the Procedure:

• To facilitate a speedy recovery, patients should refrain from alcohol and smoking at least one week before bichectomy.
• If the patient is taking aspirin or blood thinners, these medications should be discontinued before the operation.
• Inform the surgeon about any regular medications related to your health.
• If the patient is pregnant or has specific health issues, they should discuss these conditions with their doctor before the bichectomy.

After the Procedure:

• The recovery period following bichectomy varies from patient to patient but generally spans two weeks.
• For the first three days after the operation, patients should consume soft foods and cold beverages to prevent potential bleeding.
• Avoiding sun exposure is crucial after bichectomy.
• Inflammation, if it occurs, may last for three to six months, primarily in the lower jaw area.
• Bichectomy enhances the prominence of cheekbones and gives the face a slimmer appearance.

Distinguishing Bichectomy from Hollywood Cheek Aesthetics: Bichectomy and Hollywood cheek aesthetics are often confused. While Hollywood cheek aesthetics can significantly alter facial appearance, bichectomy primarily focuses on reducing fat in the cheek area, resulting in slimmer cheeks. Hollywood cheek aesthetics is a more complex procedure that involves interventions with fillers or fat injections in the cheekbones and chin area.

In summary, bichectomy, or buccal fat removal, is a cosmetic procedure that enhances facial features by creating slimmer cheeks and more prominent cheekbones. Ideal candidates should meet certain criteria, and preoperative and postoperative care is essential for a successful outcome. It’s essential to differentiate bichectomy from Hollywood cheek aesthetics, as the two procedures have distinct objectives and methods.