How is a bichectomy performed?

Bichectomy is an aesthetic surgical procedure that seeks to outline the face to give it a much more defined and slimmer appearance. The idea of ​​this surgery is to remove Bichat balls, also called Bichat pouches, which are small fat bags found on the cheeks.

This surgery in most cases is performed on an outpatient basis. So, the patient does not require hospitalization. To perform the bichectomy, the area to be operated on must be numbed with local anesthesia.

After the anesthesia takes effect, a few small cuts are made in the inside of the mouth. These are about a centimeter and a half. The incisions allow the Bichat balls to be removed.

Finally, the area where the Bichat balls were found is cleaned and the wound is sutured. Bichectomy is minimally invasive and takes a short time.

Once the intervention is finished, the doctor usually puts a compression bandage that helps prevent bruising from developing after the first days. After at least three hours you can remove it.

Frequently asked questions about bichectomy

When undergoing surgery, it is normal to have certain doubts about it. It is always important to clarify each of the aspects before undergoing an intervention and more if this means making changes in the physiognomy of the face, such as bichectomy.

Who is the ideal candidate for bichectomy?

One of the most frequently asked questions about Bichat balls surgery is who is the perfect candidate for this surgery. The people for whom this type of intervention is recommended are those thin and with a round complexion on their face.

That is, this type of surgery is not recommended for those who are overweight. Well, the bichectomy is responsible for removing the fat from the natural complexion of people and not the one that accumulates due to having excess kilos.

Do the Bichat balls grow again?

Bichat balls are a tissue that is not subject to hormonal changes, so once they are removed, they do not grow back. However, sometimes when people do not watch their diet, they can gain weight and develop subcutaneous fat that will make their face look rounder.

How should I prepare for a bichectomy?

Before a Bichat ball surgery, certain care must be taken to avoid complications during the procedure and guarantee good results. Between her:

Perform a cleaning in the oral cavity. This includes the cheeks, tongue, teeth, and gums. This will help to avoid infectious processes.Rinse mouth with chlorhexidine the morning of surgery.Do not smoke for at least two weeks before the intervention.

Who can perform a bichectomy?

One of the doubts that may exist about bichectomy is who can perform this intervention. It is advisable to go to a plastic surgeon, but who also has experience in facial anatomy.

How long do you see the results?

The results of bichectomy may be more noticeable after the fourth week. Which is how much the swelling of the face beginning to subside. However, this may vary from patient to patient, so it may be longer or shorter.

How is the post-operative bichectomy?

After the intervention, we recommend that you carry out the following actions to recover quickly from plastic surgery:

Put ice or cold compresses for the first 48 hours. This will help to noticeably reduce inflammation.Eat a diet of liquids and soft food. Remember that the wounds will be on the inside wall of the mouth so it can be a bit painful to eat very hot food and make a lot of effort to chew.After a couple of hours after the bichectomy, it is essential to clean the area carefully. Take into account the indications of the specialist, since the area will be sensitive.Perform gentle massages in the area, this contributes to blood circulation and prevents bruising.Avoid doing physical effort for at least the first two days after the intervention. Although it is a minimally invasive surgery, it is advisable to rest for a while.

Is bichectomy painful?

No. The procedure is carried out under local anesthesia to prevent the patient from feeling pain or other discomfort.

With regard to postoperative pain, this is generally not very intense and can be treated with commonly used analgesics.

What complications can there be in the intervention?

As we discussed before, this surgery is minimally invasive for the body. But like any intervention, it can present complications. Either due to malpractice on the part of the doctor or for not taking care prior to the bichectomy.

When performing the surgery with doctors who are not specialists in the area, there may be a risk of having lesions in the facial arteries. On the other hand, if you do not have adequate care in the postoperative period of bichectomy, you can develop infectious processes.

How long does a bichectomy take?

The duration of the intervention varies depending on each patient and the surgeon. But this is done in an average time between 45 minutes and two hours.

When more tissue has to be removed in the bichectomy, a complication occurs or it is performed simultaneously with another facial plastic surgery, the duration of the process is longer.

What medical tests do you require before the bichectomy?

The surgeon will order basic laboratory tests such as complete hematology. Depending on your clinical history and the results of the evaluation that the specialist performs, you may request some more specialized ones.

What happens if I gain weight after surgery?

A very recurrent question in those who want to undergo bichectomy is what happens if they gain weight. Well, what can happen is that body fat increases and although they do not lose the operation process, the facial contour changes.

Take into account that the purpose of removing the bichat balls is to have a slightly more defined face. As well as contouring and gaining weight, the opposite is achieved.

How much does a bichectomy cost?

The price of the bichectomy varies depending on multiple factors such as the clinical center, the specialist's fees, which includes the service and others.

Its average cost is between 900 and 1,800 euros. It is not an expensive intervention.

What are the benefits of bichectomy?

The extraction of the Bichat balls is an aesthetic procedure with multiple benefits. Among the main ones we can mention:

It is a simple, fast and very safe surgery.The results are permanent and are visible within a month after the operation.It allows you to obtain a much more stylized, slim and profiled face with prominent cheekbones.It is affordable. In case the patient is not satisfied with the appearance of his face, it can be reversed.

Can bichectomy and double chin lipo be done together?

Yes, it is common for patients to undergo double chin liposuction and bichectomy in the same session. In general, the Bichat balls are first extracted and then the specialist proceeds to extract the accumulated fat in the double chin area with a very small and fine cannula.

The operation applying both procedures together have an average duration of 1 hour and a half.

It is important to mention that to perform both procedures in the same operation, the surgeon must carry out a prior evaluation of the areas you want to treat to determine if these treatments are the best for your case.

How is bichectomy reversed?

In case the patient wishes to reverse the effects of the bichectomy, a plastic surgeon must extract fat from some area of ​​the body, apply the corresponding treatment and then inject it right in the area where the Bichat balls were.

The procedure should be done by an expert to avoid complications and to ensure that both cheeks are symmetrical.

 

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