Cheek Aesthetics (Bichectomy)

Most people are dissatisfied with their facial features; therefore they try different angles, especially when taking pictures, to choose the aspects that can hide facial flaws. If the golden ratio rule is applied to the human face, it is seen that the round and wide appearance of the face disturbs the aesthetic appearance due to the structure of the cheeks. Movie and television stars need to be in front of cameras because of their job requirements and they choose to undergo cheek aesthetics called bichectomy to have impressive facial features when images are taken from every aspect. Because cheekbones will become more prominent after the removal of fat in the cheeks with bichectomy, facial contours will be much more impressive and aesthetic.

Unlike the other components on the face, which are affected by the ageing process, no changes occur in the cheeks. Many people end in having round and bulging cheeks contrasting with sharp facial features. This leads to develop a non-aesthetic facial appearance. This unpleasurable appearance of the cheeks will disturb a mature and sharp visage.

Although this may not initially present a problem for many people, it can be annoying especially for Hollywood stars, who need to be frequently on the stage due to their job requirements. Because the facial features of the stars are recorded from different angles by camera, all these celebrities wish to own a further aesthetically improved visage. A solution to this unpleasurable problem is a type of surgery named as Bichectomy. The aim of Bichectomy surgery is to adjust the facial proportions according to the golden ratio rule, achieving a more aesthetic appearance on the face.

Bichectomy operations are on the rise today to get rid of this annoying condition, not only for the celebrities but also for everyone having similar complaints about their cheeks. Bichectomy allows restructuring the facial architecture to give it a triangular shape, which will conform to the Golden Ratio.

Can Isler, MD.
Aesthetic and Plastic Surgery
General Surgery

About Operation

Expected duration of stay in Turkey: 3 Nights

Anesthesia: General anesthesia

Expected operation duration: 2.5-5 hours

Expected duration of stay in the hospital: 1 night

Pain: Occasionally, simple analgesics are needed.

Swelling and bruises: Very little

Dressing: Day 3 and 6

Stitches: No need to take stitches that melt on their own.

Expected return to normal life: 3-4 days later

Sports: light exercises after 1 week

Before the surgery…

People, who decide to undergo bichectomy surgery, should first undergo a physical examination performed by a physician and their cheek architecture should be examined. It is important to prevent occurrences of infection intraorally in the eligible individuals until the time of the procedure. If the eligible individuals use blood thinning medications regularly, they will need to discontinue them 15 days before the surgery. A detailed information will be provided to you by your surgeon before the procedure and all points requiring the exercise of care will be explained to you in detail.

The operation

Bichectomy is highly advantageous compared to other aesthetic procedures in regards to surgical incision scars. It is because bichectomy is performed through an incision made intra-orally in the inner portion of the cheeks, leaving no scars on the face.

After administering local anesthesia to the patient, excess fat can easily be removed from this area through an incision of approximately 1 cm created intraorally inside the cheek of the patient. Depending on the patient’s condition, the operation can be completed in 30 to 60 minutes. The main purpose of this operation is to slim down the fat tissue layer in the cheek region, resulting in a prominent appearance of the cheekbones.

The most important point in bichectomy surgery is the competence and experience of the physician who will perform the operation. Because the architecture of the cheeks and the quantity of fat in this region are variable in every single person. The quantity of fat to be removed from the cheeks is a difficult decision to make. Although many people think that bichectomy is performed merely for creating nice-looking pits on the face, the main and actual purpose of this procedure is to highlight the cheekbones by eliminating the levelling fat in the area.

Conversely, some people have disproportionate depressions and pits on their cheeks. Filling procedure is performed inside the cheeks of individuals having such complaints. Accomplishing a successful procedure entirely and achieving the right facial proportions depend on the experience of the physician.

After the surgery…

When the effect of anesthesia ceases after the surgery, patients may experience mild pain that can be managed with simple painkillers. It is important that patients should definitely avoid rubbing their eyes during the first day.

The dressings on the eyes are removed within 4-5 days. Patients should avoid lying down completely flat but they should lean backwards while keeping a 30-40 degree angle for 3 days. Cold compresses should be applied to the area to accelerate recovery for 2 days. It should be known that accumulation of blood in the eye increases the risk of infection. Furthermore, patients will be advised to avoid reading anything like magazines, newspapers, etc. for up to 2 days and they will be advised not to drive for 5 days. It is also important to protect the eyes from exposure to excessive light and the sun for a period.

Sunglasses can be used to protect the eyes. At least 1 week should elapse to start using contact lenses. If care is exercised about these points, patients will have a younger appearance following the eyelid aesthetics.

Frequently Asked Questions

What should be paid attention to before the surgery?

Eligible individuals will be informed by their surgeon about the process and procedures in detail before the surgery. As the prerequisites; people, who will undergo bichectomy, should not have any intra-oral infections and they should discontinue blood thinning medications 15 days before the surgery.

How long does the bichectomy procedure last?

Bichectomy takes 30 to 60 minutes, depending on the condition of the patient.

Will there be any scars left after the surgery?

We can clearly say no to this question. Bichectomy operation is performed entirely in the inner part of the cheek. Therefore, there is no potential of having incision marks on the face.

How long does it take to return to normal life after the surgery?

Bichectomy can be completed in about 30 to 60 minutes. There is no obstacle for the patient to be discharged from the hospital on the same day of the surgery and to resume his/her daily life.

What type of diet should be followed after the surgery?

After bichectomy, patients should care of their diet significantly on the first day. They should avoid having a solid diet and not drink acidic beverages to prevent intra-oral injury. In the first 15 days, a routine diet can be followed but care should be exercised not to facilitate any infections at the intra-oral incision sites.

Who can undergo Bichectomy?

Men and women, having swellings in the cheek area or having round cheeks due to a rapid increase in the body weight, can undergo bichectomy after they complete the puberty period.

What should I pay attention to after the surgery?

The most important point to receive attention after bichectomy is to prevent any infection to develop inside the mouth. The sutures in the inner side of the cheeks are absorbable and infections can easily develop in these areas. During the recovery period, any risk of infection should be avoided.

Can I talk comfortably after the surgery?

Bichectomy surgery does not raise any obstacles that will prevent the individual from getting back to the daily life. You can talk, breathe, and accomplish your daily activities comfortably after the surgery.

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