Bichectomy
The surgical excision of the buccal fat pad, also known as a "Bichectomy," is named for Marie François Xavier Bichat.
The structures between the muscles in the middle of the cheeks on both sides of the face are called buccal fat pads, and it is believed that these pads facilitate chewing and sucking, especially during infancy.
Even though the cheeks' plump appearance is endearing in infancy and childhood, it might not be appealing as an adult.
Patients who have large amounts of cheek fat removed may find that this round face shape does not suit them, and they will have an oval-shaped face that is more defined.
Not every face is a good candidate for a bichectomy. Examining the patient's face and talking to them about their expectations are important. Younger patients shouldn't have this surgery because as people age, their facial fat tissues will shrink.
Under sedation, a bisectomy can be carried out while the patient is completely asleep and not under general anesthesia. There is no scar on the face because the surgery is done through oral incisions. Only the portion of the cheek that fills the cheek should be removed, not the entire Bichat tissue.
The roundness of the cheeks is lessened and the depressions in the mid-face are treated when the bichat is moved to the mid-face in suitable patients without removing the adipose tissue. An hour is needed on average for the procedure. Surgery for a bichectomy must be done in an operating room.
The mid-lower cheek swelling goes away following the bichectomy procedure. It gives a more appealing contour. After surgery, edema is typical for about a week. Cleaning the sutures in the mouth should be done carefully, and the doctor's advice should be followed.
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