Bichectomy (Buccal Fat Removal)

Removal of Excess Fats in The Cheeks

Definition of Bichectomy

Bichectomy, also known as Buccal Fat Removal, is a cosmetic surgical procedure that involves the removal of the buccal fat pads from the cheeks. The buccal fat pads are located in the lower portion of the cheeks, and their primary function is to provide cushioning and support to the facial muscles.

Bichectomy is often performed for aesthetic purposes to achieve a more sculpted and defined facial appearance. By reducing the size of the buccal fat pads, the procedure can create a slimmer, more contoured look to the face. It is particularly popular among individuals who desire a more prominent cheekbone structure, a narrower face, or a more angular facial profile.

The procedure is typically performed by a qualified plastic surgeon or a maxillofacial surgeon under local or general anesthesia, depending on the patient's preference and the complexity of the case. During the surgery, the surgeon makes small incisions inside the mouth, near the back molars, to access the buccal fat pads. The fat pads are then carefully dissected and removed. The incisions are then sutured closed, and the procedure is complete.

Bichectomy is generally considered a safe procedure with minimal risks. However, as with any surgical intervention, there are potential complications that can arise, such as infection, bleeding, scarring, asymmetry, or nerve damage. It is important for patients to have a thorough consultation with their surgeon to discuss their expectations, potential risks, and recovery process.

The recovery period after Bichectomy is typically relatively short. Patients may experience swelling, bruising, and discomfort in the treated area for a few days or weeks. Pain medication, cold compresses, and a soft diet are often recommended to manage these symptoms. It is important to follow post-operative instructions provided by the surgeon to ensure proper healing and minimize the risk of complications.

It is worth noting that Bichectomy is a permanent procedure, meaning that once the buccal fat pads are removed, they will not regenerate. The results of the surgery can be long-lasting, but they can also be influenced by factors such as aging, weight fluctuations, and lifestyle choices.

As with any cosmetic procedure, it is crucial for individuals considering Bichectomy to have realistic expectations and to undergo the procedure for their own personal reasons, rather than attempting to conform to societal beauty standards. It is always recommended to consult with a qualified healthcare professional to discuss the potential benefits, risks, and alternatives before making a decision about undergoing any surgical procedure.

Cost of Bichectomy in Istanbul

The cost of Bichectomy, or Buccal Fat Removal, in Istanbul can vary depending on several factors, including the surgeon's experience and reputation, the clinic or hospital where the procedure is performed, the geographical location, and any additional fees associated with anesthesia, pre-operative tests, and post-operative care. It is important to note that the following information is based on general estimates and may not reflect the current prices in Istanbul, as prices can change over time.

On average, the cost of Bichectomy in Istanbul can range from around 1,500 to 3,000 US Dollars. However, it is crucial to consider that this is an approximate price range and can be subject to variation.

It is advisable to consult with multiple surgeons or clinics to get a better understanding of the pricing options available. During a consultation, the surgeon can assess your specific case, discuss your desired results, and provide you with a personalized quote based on your needs.

When considering the cost of Bichectomy, it is essential to factor in additional expenses such as pre-operative consultations, post-operative visits, medication, and any potential complications that may require further medical attention. It is important to have a clear understanding of the total cost involved and to inquire about any potential hidden fees.

Additionally, it is crucial to prioritize the qualifications, experience, and reputation of the surgeon and the facility where the procedure will be performed over the cost alone. Choosing a skilled and reputable surgeon who follows proper safety protocols is vital to ensure a successful outcome and minimize the risks associated with the procedure.

It is recommended to thoroughly research and consult with multiple surgeons or clinics, comparing their qualifications, reviews, and prices, before making a decision. It is also advisable to inquire about financing options or payment plans that may be available to make the procedure more affordable and manageable for your individual circumstances.

Technique of Bichectomy

The technique of Bichectomy, or Buccal Fat Removal, involves the surgical removal of the buccal fat pads from the cheeks to achieve a more sculpted and defined facial appearance. Here is an overview of the general technique used in this procedure:

1. Anesthesia: Bichectomy can be performed under local anesthesia with sedation or general anesthesia, depending on the patient's preference and the surgeon's recommendation. The anesthesia ensures that the patient remains comfortable and pain-free during the procedure.

2. Incision Placement: The surgeon begins by making small incisions inside the mouth, usually near the back molars. This approach allows for hidden scars and avoids any external visible marks on the face.

3. Dissection and Removal: Once the incisions are made, the surgeon gently separates the buccal fat pads from the surrounding tissues. Care is taken not to damage any nerves or blood vessels in the area. The fat pads are then removed in their entirety or partially, depending on the desired outcome and the patient's facial anatomy.

4. Closure: After the buccal fat pads are removed, the surgeon carefully sutures the incisions closed using dissolvable or removable stitches. The incisions are positioned in a way that minimizes tension and promotes proper healing.

5. Postoperative Care: The surgeon provides instructions on postoperative care, which may include recommendations for pain management, swelling reduction techniques, dietary restrictions, and oral hygiene practices. Follow-up appointments are scheduled to monitor the healing process and address any concerns or questions the patient may have.

It is important to note that the surgical technique may vary slightly depending on the individual patient's needs and the surgeon's preferences. Surgeons may have different approaches to accessing the buccal fat pads and removing them. Additionally, if the patient requires additional facial procedures, such as liposuction, facelift, or chin augmentation, the Bichectomy technique may be combined or modified accordingly.

As with any surgical procedure, there are potential risks and complications associated with Bichectomy, including infection, bleeding, scarring, asymmetry, or damage to nerves and blood vessels. However, when performed by a skilled and experienced surgeon, the risks can be minimized.

It is crucial for individuals considering Bichectomy to have a thorough consultation with a qualified surgeon. The surgeon will evaluate the patient's facial anatomy, discuss their goals and expectations, and determine whether Bichectomy is an appropriate procedure for them. They will provide personalized advice and recommendations based on the patient's unique circumstances.

Postoperative Care After Bichectomy

Postoperative care plays a crucial role in ensuring proper healing and minimizing complications after Bichectomy, or Buccal Fat Removal. Following the surgeon's instructions and taking care of the surgical site can contribute to a smooth recovery. Here are some general guidelines for postoperative care:

1. Pain Management: Some degree of discomfort or pain is common after Bichectomy. The surgeon may prescribe pain medication or recommend over-the-counter pain relievers to manage any discomfort. It is essential to take medications as prescribed and report any severe or persistent pain to the surgeon.

2. Swelling and Bruising: Swelling and bruising are expected after the procedure and may last for a few days to a couple of weeks. Applying cold compresses to the treated area for the first 24 to 48 hours can help reduce swelling and alleviate discomfort. However, it's important to follow the surgeon's instructions regarding the use of ice or cold packs to avoid any potential adverse effects.

3. Dietary Restrictions: Following a soft or liquid diet for a few days after Bichectomy is often recommended. This helps to minimize strain on the surgical area and allows for proper healing. Patients should avoid consuming hard, crunchy, or spicy foods that may irritate the incision sites. It's crucial to stay hydrated and maintain a balanced diet to support the healing process.

4. Oral Hygiene: Maintaining good oral hygiene is essential during the recovery period. Patients should gently brush their teeth using a soft-bristled toothbrush and rinse their mouth with a prescribed mouthwash or warm saltwater solution after meals. It is important to avoid vigorous rinsing or spitting, especially within the first few days, to prevent dislodging blood clots or interfering with the healing process.

5. Activity and Rest: It is advisable to take it easy and get plenty of rest during the initial recovery phase. Strenuous physical activities, such as heavy lifting or vigorous exercise, should be avoided for a few weeks to prevent complications and promote proper healing. Light activities and gentle movements can be gradually resumed as advised by the surgeon.

6. Follow-up Appointments: The surgeon will schedule follow-up appointments to monitor the healing progress and remove any stitches if necessary. It is important to attend these appointments and discuss any concerns or questions with the surgeon. Following the surgeon's postoperative instructions and attending follow-up visits can ensure proper healing and allow for timely identification of any potential issues.

7. Sun Protection: Protecting the surgical site from direct sunlight is crucial during the healing process. Sun exposure can lead to pigmentation changes and slow down the healing process. Applying sunscreen or wearing a wide-brimmed hat when going outside can help protect the treated area.

It is important to remember that every individual's recovery experience may vary. Following the specific instructions provided by the surgeon is essential for a successful recovery. If any unusual or concerning symptoms arise, such as excessive bleeding, severe pain, infection signs, or unexpected changes in the healing process, it is important to contact the surgeon promptly for guidance and evaluation.

Possible Risks and Complications For Bichectomy

Like any surgical procedure, Bichectomy, or Buccal Fat Removal, carries certain risks and potential complications. It's important to be aware of these potential risks and have a thorough understanding of the procedure before making a decision. Here are some possible risks and complications associated with Bichectomy:

1. Infection: Infection is a potential risk with any surgical procedure. Although rare, it can occur after Bichectomy. Signs of infection may include increased pain, redness, swelling, warmth, or discharge from the incision site. If an infection is suspected, it is important to contact the surgeon promptly for appropriate evaluation and treatment.

2. Bleeding: Some bleeding is normal immediately after the surgery. However, excessive bleeding can occur in rare cases. It is important to follow the surgeon's instructions regarding postoperative care, including avoiding activities or medications that may increase the risk of bleeding. If significant bleeding occurs or persists, it should be reported to the surgeon immediately.

3. Scarring: Incisions made during Bichectomy are usually placed inside the mouth, which helps minimize visible scarring. However, in some cases, scars may become more noticeable or hypertrophic. Proper wound care and following the surgeon's instructions for postoperative care can help minimize the risk of excessive scarring.

4. Asymmetry: Achieving perfect symmetry is challenging in any cosmetic procedure, including Bichectomy. There is a small risk of asymmetry, where one side of the face may appear slightly different from the other. Surgeons take measures to minimize this risk, but it is important to have realistic expectations and understand that some degree of natural asymmetry is normal.

5. Nerve Damage: The buccal fat pads are located near nerves that supply sensation to the face. While rare, there is a possibility of temporary or permanent nerve damage during the procedure. This can result in altered sensation, numbness, or tingling in the affected area. Most cases of nerve damage are temporary and resolve within a few weeks or months, but in rare cases, it may be permanent.

6. Dissatisfaction with Results: It is important to have realistic expectations and thoroughly discuss the desired outcome with the surgeon before undergoing Bichectomy. While the procedure can create a more sculpted and defined facial appearance, individual results may vary. It's possible to be dissatisfied with the outcome if the desired aesthetic goals are not met.

Pressured Bandage and Cold Compress After Bichectomy

After Bichectomy, the surgeon may recommend the use of a pressured bandage and cold compress to aid in the recovery process. These techniques can help reduce swelling, minimize bruising, and provide comfort. Here's a breakdown of their purpose and how they are typically utilized:

1. Pressured Bandage:

A pressured bandage, often in the form of a soft compression garment or dressing, is applied over the treated area after Bichectomy. This bandage serves multiple purposes:

- Compression: The bandage provides gentle pressure on the surgical site, which can help reduce swelling and prevent the buildup of fluid in the surrounding tissues. Compression can also aid in promoting proper healing and contouring of the treated area.

- Support: The bandage provides support to the tissues, helping to stabilize them and minimize the risk of excessive movement or disruption during the initial healing phase.

- Protection: The bandage helps protect the surgical site from potential trauma or accidental injury, such as bumping or rubbing against objects or clothing.

The pressured bandage is typically worn for a specified period as advised by the surgeon. It is important to follow the surgeon's instructions regarding the duration of bandage wear and any specific care instructions.

2. Cold Compress:

The application of a cold compress, usually in the form of an ice pack or a cold towel, is recommended during the initial stages of recovery after Bichectomy. Cold therapy offers several benefits:

- Swelling Reduction: Cold temperatures help constrict blood vessels, which can reduce blood flow to the area and subsequently minimize swelling. By reducing swelling, discomfort and pain may also be alleviated.

- Comfort: Cold therapy can provide a soothing sensation, helping to numb the treated area and provide relief from postoperative discomfort.

- Bruising Prevention: Cold compresses can potentially minimize the appearance of bruising by restricting blood flow and reducing the likelihood of blood pooling in the tissues.

When using a cold compress, it is important to:

- Wrap the cold pack or towel in a thin cloth or towel to protect the skin from direct contact with extreme cold.

- Apply the compress to the treated area for 10-15 minutes at a time, with intervals of rest in between. This prevents excessive cold exposure, which could damage the skin.

- Follow the surgeon's instructions regarding the frequency and duration of cold compress application.

It is important to note that while cold compresses can be beneficial during the initial stages of recovery, their use should be discontinued as advised by the surgeon. After a few days, transitioning to warm compresses or other recommended therapies may be recommended to promote healing and comfort.

Always consult with the surgeon for specific instructions on utilizing a pressured bandage, cold compress, or any other postoperative care techniques. The surgeon will provide personalized guidance based on your unique needs and the specifics of your Bichectomy procedure.

Total Healing Time After Bichectomy

The total healing time after Bichectomy, or Buccal Fat Removal, can vary from person to person. Several factors can influence the duration of the healing process, including individual healing abilities, the extent of the procedure, adherence to postoperative care instructions, and overall health. Here's a general timeline of what to expect during the healing process:

1. Initial Recovery Period (1-2 weeks):

During the first week or two following Bichectomy, you can expect some initial discomfort, swelling, and bruising. The swelling is typically at its peak during the first few days after the surgery. Pain and discomfort can be managed with prescribed or over-the-counter pain medications as recommended by the surgeon.

2. Resolving Swelling and Bruising (2-4 weeks):

Swelling and bruising should gradually diminish during the second to fourth week after the procedure. However, it is important to note that individual healing times can vary, and some individuals may experience residual swelling for a longer period.

3. Scar Maturation (several months to a year):

Incisions made during Bichectomy are typically placed inside the mouth, resulting in hidden scars. Scar maturation is a gradual process, and it can take several months to a year for the scars to fade and become less noticeable. Proper wound care and following the surgeon's instructions for postoperative care can help promote optimal scar healing.

4. Final Results (several months):

The final results of Bichectomy become more apparent as the swelling subsides, the tissues settle, and the healing process progresses. It can take several months for the treated area to fully heal and for the final contour and appearance to be visible. Patience is important during this period, as it can take time for the tissues to adjust and for the desired outcome to be achieved.

It is crucial to follow all postoperative care instructions provided by the surgeon, including dietary restrictions, activity limitations, and any prescribed medications. Attend all scheduled follow-up appointments to monitor the healing progress and address any concerns or questions.

It is important to note that individual healing experiences may vary, and the timeline provided above serves as a general guideline. Some individuals may experience a faster healing process, while others may require more time for complete recovery. Consulting with the surgeon and discussing your specific case can provide you with a better understanding of what to expect in terms of healing time based on your unique circumstances.

Remember that it is essential to be patient and allow your body the necessary time to heal and adjust. Rushing the healing process can potentially compromise the final results. If you have any concerns during the healing period, it is best to consult with your surgeon for professional guidance and advice.