Bichectomy is the removal of the " Bichat Balls " to improve facial features, creating an impression of a more defined and thinner face with an aesthetic appearance to personal taste. It is performed inside the mouth, leaving hidden and inapparent incisions.

What are bichat balls? Bichat balls are a rounded mass of fat in the middle of the cheek. It is located between the facial muscles, in the hollow area below the cheekbone. The size of the buccal fat pads affects the shape of the face.

Everyone has them, however the size of buccal fat pads can vary greatly.

If you have larger buccal fat pockets, you may feel like your face is too round or undefined.
What does buccal fat removal or Bichat Balls consist of?Buccal fat removal is a minimally invasive plastic surgery . It is also known as buccal lipectomy or cheek reduction surgery.
How is it the procedure?The procedure can be performed in a hospital or licensed physician's office. Local anesthesia will be administered in the area to be worked on. You will not feel any pain, but you will be awake during the procedure.

During the procedure, the buccal fat pads are surgically removed from the cheeks.

This slims the cheeks and defines the facial angles.

In some cases, sutures are left that fall out on their own.
Can it be combined with other procedures?Yes of course, it is possible to combine it with:

-Face lift


- Mentoplasty

-Lip augmentation

-Botulinum toxin or fillers
Who is a good candidate for buccal fat removal?If you have round and fuller cheeks.

IF you want to want to refine your face and define it.

The decrease is at the sides of the mouth corners where the bicchat balls are located.

You have realistic expectations.
When is it not indicated?It may not be recommended in the following scenarios:

Your face is thin: If your face is naturally thin, surgery can cause sunken cheeks as you age.

Excess fat in the upper cheeks, in this case a facial liposuction is recommended.

The ideal is always that a plastic surgeon evaluates it to see the feasibility of the surgery.
How is the postoperative?Before you go home, we will give you a special mouthwash to prevent infection. Your surgeon will explain how to care for the wound on the inside of your cheek.

You will need to follow a liquid diet for several days. You can then progress to soft foods before returning to your normal diet.

After surgery, your face will be swollen and you may experience some swelling or bruising. Both should subside as you heal over the first week.
How is the return to normal life?Full recovery usually takes about 3 to 4 weeks.

During recovery, follow your doctor's instructions for personal care and nutrition. Keep all of your follow-up appointments.

Sports can be done after 3-4 weeks according to indications.
What are the possible complications of buccal fat removal?Buccal fat removal is generally considered safe. However, like all procedures, there is a risk of unwanted side effects.

The most frequent is postoperative inflammation or some bruising. The rest of the possible complications are of a low percentage, but they will be explained to you prior to the procedure.