Bichectomy (Buccal Fat Pad Removal)


Bichectomy or Buccal Fat Pad Removal, is a surgery that improves the shape of the face in
good candidates, resulting in a thinner and sharper face. It is ideal for reducing the facial volume
in patients with round or square faces, both from the front and from the side.
Not all patients are suitable candidates, generally when there is a loss of facial tissues (cheek),
it no longer generates the same excellent result, as when it is performed on a patient with firm
facial tissues. The ideal is to go to an evaluation to define if it is an appropriate procedure and
will give a good result.
The surgery is performed with a cut inside the mouth, in a protected area, about 3-5 mm long,
through which the buccal fat pad is removed, which is of different volume in each patient. The
scar is completely imperceptible.

Type of anesthesia: Local vs. local with sedation
20-30 mins
Recovery time:
2-3 days

Important aspects of recovery:
-Stitches are generally not removed from surgery.
-The inflammation is accentuated the first 2-3 days after surgery, so some care must be followed
when exerting, and medications and local cold can be used to reduce the inflammation.
-Chlorhexidine mouthwashes are recommended for the first 3-5 days after the procedure to
reduce the risk of infection.
-Some care should be followed with the diet:
-First 1-2 days, a liquid or soft diet is recommended to avoid discomfort when eating (not
mandatory, but highly recommended).
-Non-irritating (sauces, chili, lemon), fried foods, chips, toasts, candies or small seeds that can
enter wounds when chewed.
-Do not use a straw for your drinks in 1 week.
-The final result takes between 3-6 months, however, from the first week a change in the shape
of the face can be observed.
-It is important to watch your diet after surgery (if you gain a lot of weight, the result may not be
noticeable or it may be very subtle).