Dr Dominik Boligłowa
Dr Dominik BoligłowaSpecialist plastic surgeon

Bichektomia – jak usunięcie poduszek Bichata modeluje kontur twarzy? Porównanie efektów u różnych typów urody

June 17, 20252 min read

Bichektomia – jak usunięcie poduszek Bichata modeluje kontur twarzy? Porównanie efektów u różnych typów urody

Bichektomia – jak usunięcie poduszek Bichata modeluje kontur twarzy? Porównanie efektów u różnych typów urody

Bichectomy – how does the removal of Bichat's pads shape the facial contour? A comparison of effects across various facial types

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Introduction

Bichectomy, the procedure for removing Bichat's fat pads, is becoming increasingly popular among individuals seeking to sharpen their facial features. It is a relatively minimally invasive procedure that helps achieve a slimmer, more defined facial oval. The procedure is intended for both women and men who struggle with a chubby face or wish to give it a more defined contour.
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What does bichectomy involve?

Bichectomy is the surgical removal of fat pads located in the buccal space. The procedure is most commonly performed under local anesthesia. The surgeon makes small incisions inside the mouth, leaving no visible scars on the skin.
Stages of the procedure:
  • local anesthesia
  • Incision of the buccal mucosa,
  • gentle removal of the fat pad,
  • Application of absorbable sutures
The procedure takes approximately 30–60 minutes.

Who is bichectomy suitable for?

Indications for the procedure:
  • round, chubby-cheeked face,
  • Lack of a distinct contour of the cheeks,
  • the desire for a more slender facial oval
  • asymmetry of the cheeks
Contraindications:
  • very thin face,
  • systemic diseases,
  • blood clotting disorders,
  • Active oral infections.

How does bichectomy shape the facial contour for different facial types?

In people with round faces
The effect after the treatment is most visible. The facial oval becomes more defined, the cheeks gain better definition.
For people with a square face
The procedure can subtly slim the lower part of the face, accentuating the jawline.
For people with a triangular face
Buccal fat removal is less often recommended so as not to overly accentuate the lower part of the face.
In people with a long face
It can lead to excessive slimming and a 'sunken' cheek effect – caution is advised here.

Comparison of the effects of bichectomy

Aftercare instructions

  • avoiding intense chewing for the first days,
  • eating soft foods,
  • maintaining oral hygiene,
  • Doctor's check-up to assess healing.

Summary

Bichectomy is an effective way to improve facial contour, especially for people with full cheeks. The outcome of the procedure depends on one's facial features, which is why a personalized consultation with a surgeon is so important.

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