Bichectomy (Cheek Fat Removal) - Jawline

General Description

What is a bichectomy?

Today, men and women benefit from many aesthetic operations in order to have a young and healthy appearance in order to reach their ideals in terms of physical appearance. One of these aesthetic surgeries is the bichectomy operation.

Bichectomy, which provides a better appearance of the face, is also known as cheek surgery. With the bichectomy operation, more prominent cheekbones and a thinner facial line can be obtained.

Who Can Have a Bichectomy?

Bichectomy operation can be applied to men and women over the age of 18 with normal weight and a round face. However, it is not recommended for people who are overweight or obese and for patients over the age of 45.

There is a significant decrease in fat bags called Bichat over time, which may cause premature aging on the face of the person who will undergo the operation. However, it is very important for the physician who will perform the operation to evaluate the patient in detail, as there may be differences in each patient.

In order to know whether you are a suitable patient for bichectomy surgery, you may be asked questions by the physician and then some tests may be requested.

While bichectomy makes the face appear longer and thinner, it also helps to eliminate the rounded appearance of the face. Patients who have undergone a bichectomy operation can be discharged on the same day as they receive outpatient treatment.

How is a bichectomy done?

Bichectomy is an outpatient type of surgery, also known as cheek thinning aesthetics. Bichectomy surgery is performed with local anesthesia. It is very important to clean the mouth before the operation. Cleaning before bichectomy surgery will help reduce infection problems that may occur.

Bichectomy is a type of operation performed by the surgeon by making a small incision on the inside of the cheeks, next to the fat bags. After local anesthesia is applied to the patient, the surgeon makes a small incision in the cheek and removes the bichat (fat tissue) bags with forceps to give a natural appearance. After the fat bags are removed, the wound is sutured. After this procedure is applied to both cheeks, that is, when the operation is completed, the surgeon completes the procedure with a compressive bandage. The entire bichectomy operation takes between 30 and 45 minutes and the patient is discharged on the same day.

Before Bichectomy Surgery

For a faster recovery period after bichectomy surgery, the patient should stop drinking alcohol and stop smoking one week before the surgery. If aspirin or blood thinning drugs used by the patient before the surgery are used, taking such drugs should be stopped.

If the patient uses medication regularly due to health problems, he should inform his doctor about all the medications he is using before the surgery. Pregnant women or people with serious health problems should see a doctor before deciding on bichectomy surgery.

After Bichectomy Surgery

The recovery process of each patient may differ after bichectomy surgery. But in general, improvement is observed in the patients in the 14-day period after the operation. During the first three days after bichectomy surgery, consuming soft foods and cold drinks will also prevent possible bleeding. It is also recommended that patients not be exposed to the sun.

After the fat bags are removed after the bichectomy operation, in case of possible inflammation, they will disappear for 3 to 6 months. Possible inflammation usually takes place in the lower jaw part of the face.

With bichectomy surgery, the cheekbones of the face become more prominent and a longer appearance is given to the face.

Bichectomy Surgery Results

Since bichectomy surgery does not require hospitalization, the patient can quickly adapt to his daily life immediately after the operation.

In case of any infection, antibiotic treatments and oral care products given by the physician should be used regularly and in accordance with the instructions in order to prevent infection.

After bichectomy surgery, it is necessary to stay with a pressure bandage at least 2 hours later, the bandage will also prevent bruising. A certain swelling may be felt in the face area, but this is normal.

You can reduce swelling by applying cold press directly to your cheek for 15 minutes every 4 hours for 3 days after bichectomy surgery. Since bichectomy surgery is performed inside the mouth, it is very important to gargle with salt water every 12 hours for 7 days and to use the medicines given by your doctor.

In addition, the patient should stay away from heavy and physical activities for the first 5 days. You can continue your daily activities normally 5 days after the operation. It is recommended to use sunscreen, especially if you have had bichectomy surgery in the summer months.

There is no scar in the patient after the bichectomy operation. Since the operation is performed from the inside of the cheek, no traces of surgery are encountered when viewed from the outside. It may take some time for the swelling to go down and the patient's face to settle after the operation. This situation may vary from person to person.

Although people expect to have a brand new face after the bichectomy operation, bichectomy surgery includes the removal of the facial oval.

Is Hollywood Cheek Aesthetic Done With Bichectomy Surgery?

Bichectomy and Hollywood cheek aesthetics are confused with each other. In Hollywood cheek aesthetics, people's facial appearances look much different than they are, while in bichectomy, only the fat in the cheek area is intervened. This does not cause a very different appearance in the person's facial appearance.

Hollywood cheek aesthetics are performed with more complicated operations. The amount of fat taken in Hollywood cheek aesthetics is higher and different than in bichectomy. In addition, various interventions are made on the cheekbones and chin area.

Risk Factors That May Occur After Bichectomy Surgery

In almost all surgeries, unexpected situations or risk factors can develop. In bichectomy, in other words, face thinning aesthetics, some risks may occur during the fat removal operation. Therefore, it is necessary to research the physician in detail before the operation and to examine the previous operations.

Although bichectomy surgery may seem like a simple operation, the nerves in the facial area may be damaged, conditions such as facial paralysis or permanent damage may occur. The salivary glands can also be damaged due to their close proximity to the adipose tissues. Therefore, it is very important that the physician who will perform the operation is an expert in his field.

Some of the risk factors that may occur after bichectomy surgery are as follows;



Difficult healing of incisions


Risks of anesthetic-related conditions

Fluid accumulation (seroma)

numbness or other changes in feeling


Facial paralysis

Injury in the tongue area

Cardiac and pulmonary complications

asymmetrical facial features

Inadequate aesthetics

Possibility of re-surgery

Persistent pain

It is extremely important to follow the treatment methods recommended by the doctor for the recovery of the patient. However, it should not be forgotten that every surgical procedure can have complications.

Are There Any Harms of Jawline?

First of all, it should not be forgotten that the most important factor in bichectomy surgery is the doctor. The experience of the doctor is as important as the methods used during the operation. Issues such as how the doctor will intervene and shape the facial area are completely shaped by the doctor's experience.

Jawline has no known harm in general, but risk factors may develop due to surgery. Since the fat bags in the cheek are close to the nerves, they may cause pain due to the pressure applied to the nerves during the operation. Among the most common factors encountered during chin fat removal(jawline) surgery is the risk of infection.

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