Bichectomy Surgery

Bichectomy Surgery: With the increase in aesthetic surgical procedures today, one of the preferred methods for individuals seeking to accentuate facial contours and achieve a sharper, more attractive facial profile is bichectomy surgery. Commonly known as “cheek reduction surgery,” this procedure stands out as a minimally invasive method to achieve balance and proportion in facial aesthetics. In Istanbul, Prof. Dr. Ozan Seymen offers his patients elegant, natural, and harmonious facial contours through modern surgical techniques and an individualized aesthetic approach.

In this article, we will comprehensively address questions such as what bichectomy is, who it is suitable for, how the surgical process proceeds, what the recovery process is like, and what expectations should be after the procedure.

What Is Bichectomy Surgery?

Bichectomy is the surgical removal of the fat pad known as the “Bichat fat pad,” located in the midface. While this fat pad supports the suction function during infancy, it serves no functional role in adulthood.

Removing the Bichat fat pad leads to a slimmer facial appearance, more pronounced cheekbones, and a more defined jawline. As a result, the face takes on a more attractive, elegant, and triangular form.

Who Is a Good Candidate for Bichectomy?

Bichectomy is not suitable for every individual. Proper patient selection is critical for achieving successful results. Ideal candidates include:

• Individuals with persistent cheek fullness: Those whose cheek fullness remains even after weight loss.
• Those seeking more defined facial contours: Individuals who desire sharper cheekbones and jawline.
• Individuals in good overall health: Those without systemic conditions that would contraindicate surgery.
• Those with realistic expectations: Individuals seeking a natural change compatible with their facial structure.

Prof. Dr. Ozan Seymen meticulously assesses each patient during the preoperative examination to determine suitability.

How Is Bichectomy Performed?

Bichectomy surgery is a brief procedure lasting approximately 30–45 minutes, performed under local anesthesia or sedation. The surgical steps include:

• A small intraoral incision: Typically a 1–2 cm incision is made near the second upper molar.
• Identification of the Bichat fat pad: The fat pad is carefully located and gently removed.
• Hemostasis: Bleeding is minimal and controlled with advanced surgical techniques.
• Closure of the incision with aesthetic sutures: Dissolvable sutures are used, eliminating the need for suture removal.

No visible scars remain inside the mouth, and the facial contours become more defined in the weeks following surgery.

Preoperative Preparation

Before bichectomy, patients should observe the following:

• Thorough examination: Assessment of facial structure, skin elasticity, and overall health.
• Smoking cessation: Smoking before and after surgery can impair wound healing and should be stopped.
• Discontinuation of blood-thinning medications: Aspirin and similar drugs should be stopped per the surgeon’s instructions.
• Comprehensive informed consent: Patients should be fully informed about risks, the recovery process, and potential outcomes.

Prof. Dr. Ozan Seymen provides detailed preoperative information and plans each step individually.

Postoperative Recovery Process

Recovery from bichectomy is generally quick and comfortable, though final results may take several weeks to appear. Postoperative care includes:

• Swelling in the first days: Cheek swelling is normal and begins to subside within the first week.
• Cold compress application: Regular cold compresses during the first 48 hours help reduce swelling and bruising.
• Diet: Soft foods are recommended for the first few days; avoid excessively hot, spicy, or hard foods until intraoral incisions heal.
• Oral hygiene: Use antiseptic mouthwash and maintain oral hygiene to reduce infection risk.
• Recovery timeline: Major healing occurs within 7–10 days, though final facial contouring appears fully within 1–3 months.

Prof. Dr. Ozan Seymen provides each patient with detailed postoperative care instructions for optimal outcomes.

Postoperative Precautions

To speed recovery and minimize complications:

• Avoid smoking and alcohol: Refrain for at least 2 weeks.
• Avoid excessive facial expressions: Especially during the first week.
• Limit physical activities: Avoid heavy exercise and sports in the first week.
• Keep follow-up appointments: Do not miss postoperative check-ups.
• Adhere to medical advice: Follow instructions on medication, oral care, and wound management.

Prof. Dr. Ozan Seymen closely monitors each patient’s recovery and personalizes care.

Risks and Complications

Although bichectomy is minimally invasive and safe, rare complications can occur:

• Infection: Preventable with proper antibiotic prophylaxis and oral hygiene.
• Bleeding: Minor bleeding early on; severe bleeding is very rare.
• Asymmetry: Slight asymmetry can occur if fat removal is uneven.
• Facial nerve injury: Very rare and minimized by experienced surgeons.
• Delayed healing: Particularly in smokers.

Prof. Dr. Ozan Seymen’s expertise and careful planning minimize these risks.

Will My Face Look Hollow After Surgery?

No. Properly performed bichectomy reduces only excessive fullness, creating a natural, elegant contour without a hollow appearance.

Is the Procedure Painful?

Mild pain and sensitivity are normal postoperatively and are easily managed with prescribed painkillers.

When Can I Return to Work?

Most patients resume daily activities within 2–3 days, though complete resolution of swelling may take several weeks.

Is Bichectomy Permanent?

Yes, the removed fat pad does not regenerate; results are permanent. However, significant weight gain may affect overall facial fullness.

Will Weight Gain Affect Results?

Weight gain can increase general facial fullness, but the removed Bichat fat pad will not return.

Bichectomy offers a minimally invasive, effective solution for individuals seeking sharper, more elegant facial contours. With proper patient selection, precise surgical technique, and well-planned recovery, results are natural, balanced, and long-lasting.

In Istanbul, Prof. Dr. Ozan Seymen emphasizes preserving aesthetic and functional balance, delivering personalized, exceptional results in bichectomy surgeries.

If you wish to enhance your facial contours or learn more about bichectomy, contact Prof. Dr. Ozan Seymen for a detailed evaluation and consultation.