What is Bichectomy (surgery to slim the face) for?
Bichectomy is a surgical procedure performed by plastic surgeons to reduce the size of the cheeks, making the face slimmer and highlighting its definition.
How is bichectomy performed?
A small incision is made inside the mouth and the fat from the cheek region—the so-called Bichat ball—is partially removed, with an average of 3 to 5 ml. The sutures are made with absorbable thread, meaning stitch removal is not necessary.
Can only half of the Bichat ball be removed, or is total removal mandatory?
Normally, a partial removal of the Bichat ball is performed. The volume to be removed must be sufficient to provide the patient with an aesthetic benefit.
How long does Bichectomy take?
The procedure takes about 30 to 40 minutes and can be performed under local anesthesia.
Who benefits most from this face-slimming surgery?
Generally, thin patients with rounded faces benefit most from the technique. However, there are exceptions. A plastic surgeon specialized in the face can evaluate you and recommend the best surgery.
Who cannot undergo Bichectomy?
Patients with local infections, severe heart disease, coagulation disorders, and severe liver and kidney problems.
How long does it take to see the results after surgery?
In the first 3 days, swelling may occur and some areas may become bruised. After 4-7 days, social activities and work can generally be fully resumed, as long as they do not require physical effort. Light aerobic activities are released after two weeks, and gym workouts between 3 and 4 weeks. Full recovery occurs three months after the procedure.
Is it reversible?
No, the surgery is irreversible. Therefore, it is important to carefully evaluate the patient's need for the procedure and perform it correctly.
What to do after surgery and how to reduce swelling, improving results?
In the first two days after bichectomy, cold compresses and a liquid/soft diet are recommended. Cold foods such as ice cream and juices are indicated, as they help reduce swelling in the region. After the third day, a diet with solid foods can be resumed.
The patient must rest, avoid physical effort, and speak as little as possible. Cold compresses and medications indicated by the surgeon will also help in recovery.
How to sleep after Bichectomy?
On the first night of sleep after surgery, it is recommended that you lie down with your head slightly elevated, which also helps prevent swelling.
Does Bichectomy cause aging or "sagging" of the face?
Bichectomy does not cause aging when well-indicated. That is why a consultation with your surgeon and a precise diagnosis and evaluation are crucial.
What to do if something goes wrong in a Bichectomy?
The excitement around the wonders of the procedure, capable of slimming the face, comes with a warning: this surgery carries risks, such as infection, bleeding, nerve injury, and parotid gland duct injury. Seek a plastic surgeon member of the Brazilian Society of Plastic Surgery, preferably specialized in the face, like me. Here is my resume.
How much does a Bichectomy cost in São Paulo – SP?
It all depends on the professionals, the structure involved, and the complexity of your case. Values can be provided after medical consultation and individual evaluation.
