Search doctors by reviews and ratings Ask your question to doctors Consult with a doctor online or in person Write a review about your aesthetic journey
Search doctors by reviews and ratings Ask your question to doctors Consult with a doctor online or in person Write a review about your aesthetic journey

What If Things Don't Go Well In Buccal Fat Removal?

Buccal Fat Removal (Bichectomy)

Written by Emel Gerdaneri.

What If Things Don't Go Well In Buccal Fat Removal?

According to the latest statistics of the Society of Aesthetics, 68% more bichectomy operations were performed in 2021 than in the previous year.

There are those who are satisfied, there are those who are not. We asked our experts about the details of the bichectomy surgery and what can be done if things don't go well:

Plastic Surgeon Ahmet Kursat Yigit MD

bişektomi“Buccal fat reduction, cheek thinning or buccal fat removal, whichever you call it, a procedure that popped up on Instagram a few years ago, and its medical name is bichectomy.

Many people have this operation because the presence of cheek pits gives the face a strong and attractive image. Of course, this treatment is nothing new.
Ahmet Kursat Yigit MD whatsapp
We plastic surgeons struggle a lot with this buccal fat to shape the lower face during facelift surgery.

Regardless, buccal fat removal has become a phenomenon and continues to grow in popularity, with videos of fat removal going viral and celebrities saying they've had the operation."

Plastic Surgeon Candan Mezili MD

bişektomi (yanak estetiği)“The buccal fat pad actually consists of several deep and superficial segments, or lobes, located along the cheeks and extending towards the chin and temples.

Beyond giving plenty of volume to the midface, it acts as a kind of shock absorber, helping muscles move with ease and buffering underlying nerves and vessels.
Candan Mezili MD whatsapp
In bichectomy, we only remove part of the lower cheek. Buccal fat reduction gives amazing results when done conservatively and on appropriate patients. Who are they?

Suitable for younger adults who have a normal BMI but have a very round face appearance due to excessive fullness of the lower cheek area. The satisfaction rate in this patient profile is extremely high.”

Plastic Surgeon Mustafa Nihat Koc MD

bişektomi öncesi sonrası“When applied to the right patient, bichectomy gives good results.

It is very important to apply it to the right patient because I observe that some patients who had buccal fat reduction when they were young, now look much older than they do because their face has reduced fat.
Mustafa Nihat Koc MD whatsapp
In addition, we can say that approximately 25% of people who come for facelift surgery experience “heavy losses in the buccal region” due to natural aging. We see this more in patients with prominent cheekbones.

The peaks of the face topographies show this part even more collapsed. “

Physician Nihal Koc MD

yanak“The loss of volume in most areas of the face is easily eliminated with hyaluronic acid (HA) filler.

When properly injected, these temporary fillings gently inflate cavities such as the tear ducts and temples, creating a youthful contour.
Nihal Koc MD whatsapp
But the architecture, or lack of architecture, of the buccal pit makes it difficult to treat the area with conventional fillers.

If you think about the face, the place where we inject HA is almost always supported by the bony skeleton, but without the bony support in the buccal cavity.

You may give four syringes of padding to each side and not see any improvement. For this reason, the right patient and an experienced doctor are essential.”

Physician Meric Yildiz MD

yanak estetiği“I think this area is like the Sahara Desert for HA fillers. To fill the space, it is necessary to give in all directions, rather than build up and out.

If it is injected too deeply, the filler is lost and there is no benefit. If placed too superficially, it creates visible streaks, lumps and bumps.

This part of the cheek is flexible and relatively thin, and also contains a lot of mobile muscles that contract when we speak and move.
meric Yıldız MD whatsapp
For this reason, HA filler may look bulky and unnatural in most cases. HAs can be metabolized much faster here due to constant muscle movement. This does not mean that I do not use HA on the cheek area. I use.

There are thinner, lighter fillers that can look good, with successful results. Non-HA biostimulators can be injected.

When injected into the subcutaneous plane just below the dermis, these suspensions trigger fibroblast cells to produce collagen and thicken the tissue.”

Written on 31/05/2022


Last Update: 01/06/2022

Go Top