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Brief Summary of Bichectomy

Brief Summary of Bichectomy




Bichectomy; is known as having cheek’s fat surgically removed, or is known publically as the surgery of thinning cheeks. It is an aesthetic surgery that is applied generally by the people who would like to have an ideal face looking. It uses to have a proportional lineament. With the help of bichectomy operation, round and wide cheeks get thinner. Therefore, the face looks sharper. Having cheek’s fat surgically removed also lets the patience out such as the sickness of biting cheeks. Not having fillings or denture prosthesis makes the appearance more efficient and smoother. The asymmetries of the cheek’s area get fixed with having cheek’s fat surgically removed, or it may make cheekbone more apparent. Especially, it uses successfully to make better the results of orthognathic surgery if the cases are suitable to have an operation.  


Short History

The buccal fat pad is identified for the first time by Heister in 1732 with having a glandular tissue. However, Marie François Xavier Bichat makes the tissue more popular in 1802, and he defines it as fat tissue. The operation became popular in 1990 for the first time. Later, it started to be used by Hollywood stars very often. Therefore, it is called as Hollywood cheek.


Surgical procedure method

The surgery is usually performed under local anesthesia. Meanwhile, the patient remains completely awake. It is based on the principle of removing the excess fat tissue on the cheek with a one-cm incision made from the upper second molar alignment from the cheek area inside the mouth without leaving any marks outside the face. Bucinator muscle is bluntly separated and buccal fat tissue is reached. After the buccal fat is reached, the fat tissue is removed outward and the required amount of it is removed. The operation takes an estimated 30 minutes. The desired appearance after bichectomy can be obtained 2-4 months after the procedure.



Patients may have swelling for several days. Swelling is often not seen from the outside. The mucous membrane is usually stitched with dissolvable materials. It takes an average of 3 months for the final result to occur.


Possible risks

  • Damage to the buccal branch of the facial nerve is a risk. The buccal branch allows some of the mimic muscles to work. Any damage to this nerve may result in partial temporary or permanent impairment of facial functions.

Similarly, people that have their buccal fat located deep within the parotid canal may be damaged during operation, which may result in saliva fistula or saliva buildup.

  • Rarely, asymmetrical appearance may occur between the cheeks due to the difference in the amount of fat removed.
  • As with any operation, there is a risk of bleeding and infection in bichectomy.


Who is suitable for bichectomy?


Although bichectomy can be applied to people of all ages and sexes, the lower age limit considered appropriate for the operation is considered to be 25. Cheek shape and facial features may change before this period however, with the completion of the age 25, the person’s facial features sit down and there is no significant change after this age.


What should be considered after bichectomy surgery?


The person does not have to stay in the hospital after the bichectomy surgery. After a short rest, the patient is discharged. Depending the operation, the physician may recommend the use of antibiotics to ensure the certainty inside the mouth is not infected. In addition, the physician informs the patient that oral cleaning needs to be paid attention to the healing process to be fast. Regular brushing of teeth and mouthwash help prevent possible infections, while good oral care is among the factors that accelerate the healing process. It is important to feed soft and liquid foods and avoid the harsh types of food that should be chewed during the period recommended by the physician after the operation .



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  1. Bişektomi [çevrimiçi/online]. Erişim yeri:[Erişim tarihi: 18 Temmuz 2020]
  2. Ozel, A. (2019). BİŞEKTOMİ [çevrimiçi/online]. Erişim yeri:[Erişim tarihi: 18 Mayıs 2020].
  3. Bişektomi [çevrimiçi/online]. Erişim yeri:[Erişim tarihi: 18 Temmuz 2020] Bişektomi/ Mehmet Çetin    



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