Bichectomy Bogota

The procedure consists of:

1. The preoperative clinical evaluation is to manage the patient's expectations regarding the irreversibility of the procedure and its final results. Bichat Fat Pad removal is a best procedure indicated on round, oval and square face shapes.
2. The procedure is performed under local intraoral anesthesia.
3. The incision, with scalpel blades or laser beam, measuring 1 to 1.5 cm between the buccal fold, beginning at the apex of the maxillary third or second molar and in the direction of the opening of the parotid duct, cuts into the following order: the buccal mucosa, the buccinator muscle, and the thin capsule of the oral fat pad.
4. The capsule is not removed, the mucosa is sutured. Immediately after the procedure, a therapeutic laser is applied, followed by cryotherapy and a compression band to minimize the risk of edema.
5. 3 to 4 ml of fat is removed during the procedure, with a maximum volume of 6 ml. The oral fat pad is the largest pad of the group, containing 40% of its total volume.

Two structures should be evaluated prior to the procedure:
- The size of the zygomatic bone: if it is too small, a filling may be necessary a few months after the bichectomy.
- The masseter muscle: hypertrophied masseter muscles become more evident after pad fat removal.

What are bichat balls?

Bichat balls are accumulations of fat located on both sides of the face, the cheeks, which have no functional relevance. They are located in the thickness of the muscle layer near the masseter muscle.

How is the procedure for the extraction of the Bichat Bichectomy balls?

It is a quick and simple procedure, which at Teeth and Smile we perform under local anesthesia, with a small incision in the mucosa inside the mouth on the inner side of each cheek, it is not painful and does not require disability.

Who are the candidates for this surgery?

All those people who want to slim down their face a bit, either because they are rounded or with a lot of volume, also patients who want to highlight their own cheekbones or jaw without placing prostheses but removing Bichat balls to highlight their features.

How long does the procedure last?

It is a quick procedure that takes between 30 and 60 minutes.

How is the postoperative period?

The inflammation is usually minimal and gradually subsides. The result is not noticeable in the first days, but until after approximately two weeks, when the inflammation has disappeared.

Is there a possibility of damaging a nerve?

It does exist, especially when the procedure is performed by pirate surgeons, beauticians, or unqualified individuals. From certified professional medical practice, it is practically nil for this type of situation to occur. The recommendation will always be to leave it in the hands of professionals who accredit and guarantee each procedure with experience and credentials.

Is it common to have a bichectomy?

Much more than we think. Most of the actors, actresses and models have a bugectomy.

Doesn't your face get very thin with age?

This type of fat, just like eye bags, has nothing to do with being fatter or thinner. It is independent, and if you want a face with more defined characteristics, the Bichat balls can be removed at any age.