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General Practice 2023

Bichectomy: what é, like é made and recoverção

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Bichectomy: what é, like é made and recoverção
Bichectomy: what é, like é made and recoverção
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Bichectomy is a surgical aesthetic procedure that aims to remove the small pockets of fat located in the cheek region, the Bichat glands, which makes the face less voluminous, thinner and enhances the cheekbone.

This procedure is simple and quick, done under local anesthesia and does not leave any visible scar, as the cuts are made on the inside of the cheek. After surgery, it is common for the face to become more swollen and, for this, it is recommended to apply cold compresses on the site to help reduce swelling and relieve discomfort.

How it's made

Bichectomy can be performed by a plastic surgeon or a dentist and can be done in the office itself, because it is a simple, quick procedure performed under local anesthesia.

To remove the Bichat glands, a small cut, about 5 mm, is made on the inside of the cheek, where excess fat is removed. Then the cut is closed, ending the surgery.

In general, the stitches given on the inside of the cheek are reabsorbed naturally in about 1 week, however it is common for the face to remain swollen for a longer time due to inflammation of the tissues of the face, which is considered normal. Despite this, there are some precautions that help speed up recovery, allowing you to see the result sooner.

Possible risks

Bichectomy is a simple surgery with a low risk of complications, however, as with any surgical procedure, it is possible to observe in some cases:

  • Infection of the surgical site: this is a risk that is associated with all types of surgery due to the cut in the skin, but is usually avoided with the use of antibiotics which can be indicated before or after the procedure;
  • Facial paralysis Temporary or permanent, which can arise if there is an accidental cut of a facial nerve;
  • Reduction of saliva production: it is more common in more complicated surgeries in which salivary glands may be injured when removing excess fat.

To reduce the risks, it is recommended that the procedure be performed by trained professionals, in addition to being indicated only in cases where the volume caused by fat pockets is excessive.

Recovery after bichectomy

Recovery from surgery to thin the face lasts, in most cases, about 1 month and is not very painful, however, to make the recovery easier, the use of anti-inflammatory drugs can be recommended to reduce the inflammation of the tissues of the face and, consequently, the swelling, and analgesics to reduce and prevent the pain.

Also, during recovery it is important to take other precautions such as:

  • Applying cold compresses to the face 3 to 4 times a day for 1 week;
  • Sleep with the head of the bed raised until the swelling in the face disappears;
  • Eat a soft diet during the first 10 days to avoid opening the cuts.

However, it is possible to go back to work the day after the surgery, and the only special care that should be taken is to avoid prolonged sun exposure and to make physical efforts, such as running or lifting very heavy objects, for example.

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