Cheek Reduction Surgery (Bichectomy) – Bursa Bichectomy

Bichectomy: An Aesthetic Procedure That Defines Facial Features

Today, cosmetic surgery is not limited to eliminating signs of aging; it is also used to make facial features more proportionate and aesthetically pleasing. In this context, one of the most popular procedures in recent years is bichectomy, also known as “cheek fat removal surgery.” Bichectomy makes it possible to achieve sharper facial features, more defined cheekbones, and a slimmer facial profile. This operation offers a permanent and effective solution, especially for individuals who complain about a “baby face” appearance.

What is bichectomy (cheek reduction)?

Bichectomy is a surgical procedure to remove the fat pads called “Bichat fat” located on the inside of the cheeks. This fat tissue adds volume to the lower part of the face. However, in some individuals, this fat tissue is excessive, causing the face to appear fuller and rounder than it is.

During the procedure, these fat pads are carefully removed. This gives the cheeks a more recessed appearance and defines the facial features. The procedure is usually performed under local anesthesia and takes approximately 30–45 minutes.

Why is a bichectomy (cheek reduction) performed?

Bichectomy is a cosmetic surgical procedure performed with the following goals:

– To make facial features more prominent

– To highlight the cheekbones

– To create a V-shaped, slim facial profile.

– To reduce the appearance of an overly full, round, or “childlike face”

– To achieve a more defined face in selfies and camera photos.

– In some cases, it can also be done to correct asymmetry or balance aesthetic proportions.

Who is a suitable candidate for bichectomy (cheek reduction)?

Individuals who meet the following criteria may be ideal candidates for bichectomy:

– Between 20 and 40 years old, having completed facial development.

– Having genetically full cheeks

– Those who feel disproportionate in their facial structure

– Individuals who are not overweight and are in good general health.

– Those who want to have thin and sharp facial features

Surgery Process: Before and After

Preoperative Preparation
– A detailed facial analysis and expectation discussion is conducted with the doctor.

– Blood tests will be requested.

– Smoking and blood-thinning medications should be stopped one week in advance.

Surgery Stage
– The procedure is performed under local anesthesia, although sedation may be preferred in some cases.

– An incision of approximately 1 cm is made inside the mouth (inside the cheek).

– Bichat oil is carefully extracted.

– The incision is closed with stitches (usually dissolvable stitches).

– The procedure takes a total of 30–45 minutes for both cheeks.

Post-operative Process
– Discharge is possible on the same day.

– Liquid foods are recommended for the first few days.

– Mild swelling and edema are normal and will subside within 1-2 weeks.

– It may take 2-3 months to see full results.

– Sports and strenuous physical activities should be restricted for one week.

– Maintaining good oral hygiene reduces the risk of infection.

Advantages of Bichectomy

– Lasting results: Once Bichat oil is used, the effects do not recur.

– Leaves no scars: Since the incisions are made inside the mouth, there are no visible scars.

– Rapid recovery process: Patients can usually return to their daily lives within 1–3 days.

– Natural look: Facial features are defined, and aesthetic proportions are corrected.

– Minimally invasive: The operation time is short, and the need for anesthesia is minimal.

What changes occur in the face after a bichectomy (cheek reduction)?

The most noticeable change after bichectomy is that the face shape becomes closer to a V shape. Specifically:

– Cheekbones become more prominent.

– Creates a contouring and shading effect on the face.

– Your face looks more aesthetically pleasing in front of the camera and in the mirror.

– The cheeks appear drawn in (Hollywood cheek)

Is bichectomy (cheek reduction) permanent?

Yes, bichectomy is a permanent procedure. The removed Bichat fat pads will not reappear. However, factors such as excessive weight gain after the procedure, aging, and facial sagging can affect the result over time. Therefore, a healthy lifestyle and maintaining an ideal weight are important.

Cosmetic Procedures That Can Be Combined with Bichectomy (Cheek Reduction)

Bichectomy is often performed in conjunction with the following aesthetic procedures to achieve more striking and balanced results:

– Chin filler or aesthetics

– Cheekbone filler

– Nasolabial filler (laugh lines)

– Facial reshaping with Botox

– Facelift or thread lift

These kinds of combinations enhance the overall harmony of the face and give it a youthful, energetic expression.

Things to Consider Before Getting a Bichectomy (Cheek Reduction)

– The procedure must be performed by plastic surgeons who are experts in their field.

– Not suitable for all face types; requires careful analysis.

– Unrealistic expectations should be avoided based on social media images.

– The decision should be made considering its longevity.

The content of this page is for informational purposes only; please consult your doctor for diagnosis and treatment.