Opr. Dr. Hasan Duygulu
Bichectomy is one of the most frequently performed plastic surgeries in Turkey as well as in the world. Bichectomy is a functional operation as it opens the nasal passages and can also provide cosmetic benefits, also called aesthetic surgery. Opr. Dr. Hasan Duygulu aims to provide happiness and satisfaction to his patients with his team that takes care to provide the highest level of service in his private clinic.
Dr. Hasan Duygulu has successfully performed more than 3 thousand Bichectomies in the last 12 years.
Everything You Wonder About Bichectomy!
Appearance is extremely important for both men and women. The features of appearance that make people more self-confident individuals also affect the success of the person in business life. At this point, the importance given to appearance is increasing day by day due to the development of technology and people becoming more conscious. Many aesthetic operations are performed in order to have a better appearance. Thanks to rhinoplasty, lip lift and many other aesthetic operations, people have the physical features they are looking for.
Bichectomy operation is also one of the aesthetic operations applied for this purpose. For those who wonder what bichectomy is, we can say that it is cheek surgery. With this procedure, it is aimed to have a much better appearance of the face. Thanks to more prominent cheekbones and a thinner facial line, people will be happier than before.
Who Can Have a Bichectomy Operation?
Bichectomy operation can be performed by anyone with a normal weight and a round face. However, as with rhinoplasty and other operations, the person must be at least 18 years old for this operation. In addition, we should say that it is a suitable procedure for both men and women. Bichectomy operation; Although it seems like a simple operation on paper, it is extremely risky for some people to have it done.
It is particularly risky for people who are overweight or suffer from obesity. In addition, it is not recommended for people aged 45 and over. Bichectomy operation has some risks. Some decreases occur in the fat bags called Bichat depending on time. At this point, there may be premature aging on the face of the person who will undergo the operation. However, it is still recommended that patients who insist on undergoing this operation should talk to a specialist physician. It is common for the doctor to ask for some tests after talking to the patient.
Bichectomy makes the face look longer and thinner. In addition, the complaints of people who complain of round facial features are eliminated. One of the advantages of this operation is that it is performed on an outpatient basis. In this way, they can be discharged immediately after the procedure and go home.
How is a Bichectomy Operation Performed?
Bichectomy, known as cheek thinning aesthetics; As we said before, it is an outpatient operation. Local anesthesia is applied. However, the patient should perform a detailed mouth cleaning before the operation. In this way, precautions are taken against the risk of any infection after the operation.
The operation starts with a small incision in the cheeks next to the fat bags. First, the patient is given local anesthesia. Then, the surgeon makes a small incision in the cheek. With the help of forceps, the bichat bags are removed to achieve a natural appearance. After the removal of the fat bags, the wound is sutured. The procedure in question is applied to both cheeks in the same way. After the end of all procedures, the surgeon completes all procedures with a compressive bandage. As a result, bichectomy is an operation that lasts between 30 and 45 minutes. After the end of the procedure, the patient is discharged without any problems.
Any of Bichectomy Is There a Risk?
Whether the bichectomy operation is successful or not depends on the doctor. The doctor’s knowledge and experience in this field is extremely important. How the doctor intervenes and shapes the face determines the fate of the operation. In addition, bichectomy does not cause any harm. There may only be a risk of infection and cheek pain due to surgery.
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Frequently Asked Questions
How much fat is removed in bichectomy surgery?
The fat removed in bichectomy surgery is the part of the bichat fat puck on the cheeks. We do not remove the part extending to the temples. This may vary in individuals. In my own practice, I have removed between 2 cc and 3.5 cc of fat from a single side. The surgery can be performed under local anesthesia with small incisions made in the mouth, or these fats can be removed during facelift surgery. However, instead of removing it, I change its location during facelift surgery and use it for augmentation purposes.
Is bichectomy surgery permanent?
Bichectomy surgery, also called Holliwood cheek surgery, is the removal of a portion of the fat pockets, which we call bichat fat pads, located in the neighborhood of the blowing muscle on both cheeks. This procedure can be performed under local anesthesia or under general anesthesia. The procedure takes about 30-45 minutes and is a permanent procedure. After the procedure, edema develops on the cheeks for a few days and may last 1-2 weeks. After the edema has disappeared, the desired effect is still not achieved. Between 3-6 months, the lower part of the cheekbones on the cheeks gets a little thinner, making the cheekbones look more berliginl. Bichectomy surgery may not always provide as much facial thinning as desired. Because it is not only bichat fat that provides facial width; There are many factors such as salivary glands, masseter muscle, patient’s skin thickness and subcutaneous fat tissue, maxilla bone mass. By removing only the cheek part of the fat pad extending to the temples, there may not always be a very obvious thinning of the face.
Where is the Bichectomy Procedure Performed and With Which Type of Anesthesia?
Bichectomy surgery takes about 30-40 minutes. During the procedure, we do not experience any pain thanks to a few cc of local anesthetic. That is why I perform the procedure under local anesthesia in my own clinic. However, it can be performed under general anesthesia when accompanied by diseases such as panic attacks and asthma. When combined with other surgeries, it can be performed under general anesthesia in the hospital.
Does bichectomy surgery restrict eating and drinking?
After the bichectomy surgery, in order to prevent infection in the cavity formed after the eaten foods open the stitches and remove the fat, we recommend patients to feed with smooth, liquid foods such as compote, fruit juice, broth, milk for 2 days, and rinse their mouths with mouthwash after each feeding. In the next 2-3 days, soups and soft foods can be introduced and then normal nutrition can be started. Otherwise complications such as infection and abscess may develop. If an abscess develops, it should be drained immediately and broader spectrum antibiotics should be used.
Is there an age limit for bichectomy surgery?
There is no age limit for bichectomy surgery. However, a 10 or 15 year old individual will never go to a specialist and request a bichectomy surgery. Even if such a thing happens, no physician will perform such a procedure because the individual does not yet have the ability to decide on a change about his own body. In our country, legally this ability is gained at the age of 18, but in my own practice, I find this process more appropriate for the 23-24 age group and above, when the person has completed the stages of accepting his own body.
When does the bichectomy swelling go away?
After bichectomy surgery, there will be facial edema for 1 week. If this edema is one-sided and painful, you should not think of it as swelling after every bichectomy surgery and you should definitely consult your doctor. I would like to specifically mention 2 complications that may occur after bichectomy surgery. One is a hematoma (accumulation of blood) and the other is an abscess. Hematoma is a phenomenon that results in bleeding in the surgical area due to a vascular incision after surgery, but instead of flowing out due to the stitches, this blood accumulates in the cheek and swells the cheek. There may be slight mucosal bleeding after each bichectomy surgery, but these are not a problem, but if you experience unilateral, more pronounced cheek swelling and pain the day after the surgery, you should consult your doctor. The solution is to open the stitches again, find the bleeding focus and control the bleeding. In my own practice, I tell my patients; After bichectomy surgery, I wrap the entire head to put pressure on the cheeks for 1 day to minimize the possibility of bleeding. Nutrition after surgery is also important in this surgery. We generally recommend patients to eat transparently for 2 days after surgery. In other words, we recommend that they be fed small but frequent meals with smooth, almost water-transparent foods. These include compote, fruit juice, broth (not hot), milk. The reason for this is that grains may damage the surgical sutures and reach the operated area from the surgery sites. This results in the formation of the second complication I mentioned, abscess. Again, unilateral, marked asymmetrical swelling, pain and fever may make you think of an abscess. If such fearful situations do not occur, swelling will begin to decrease after the 2nd week and 3.4. Over the months, the face becomes slightly thinner in the lower part of the cheekbones.
Is there any pain during surgery?
Thanks to the local anesthetic substances applied to the patient’s cheeks through the mouth before the bichectomy surgery, patients do not feel pain during surgery. The procedure is extremely comfortable with the patient in a sitting position. After the procedure, thanks to the intramuscular painkiller injection made while discharging the patient, the patient does not have much pain for 7-8 hours (this is not necessary, oral painkillers can also be given), and the patient can survive the next period with oral painkillers. On the 2nd day, there is not much pain without painkillers.
Can the Fat Taken Be Injected to Any Area on the Face?
Bichectomy surgery is an operation performed through the mouth. A 1 cm incision above or below where the salivary gland opens into the mouth is usually sufficient. However, the fat is contaminated with saliva as it is removed from the inside of the mouth. There are billions of beneficial flora bacteria in the mouth. However, if these bacteria pass from the oral cavity into the bloodstream or body cavities, they become our enemies. One of the most common places in the body where fat injection is performed is the face. As we age, we inject fat into our facial skin and subcutaneous tissue, which lose volume as we age, in order to fill the bottom of our facial skin and subcutaneous tissue, to gain volume and to benefit from the reguvination effect, and we take these fats from other parts of the body. Generally, these areas can be abdomen, thighs or arms, but we do not use the fat in the mouth. Because no one wants to take the risk of infection by injecting contaminated fat, which has taken on millions of bacteria, into any face.
Is it necessary to stay in hospital after the procedure?
Bichectomy surgery is a day procedure. After the operation, the patient can be observed in the clinic for 2-3 hours and then discharged. If the procedure is performed under general anesthesia, the patient is observed for at least 4 hours and liquid foods are fed to the patient after 4 hours. Afterwards, if the patient’s vital functions and urine output are normal, the patient can be discharged home.