{"id":984,"date":"2021-05-04T14:21:34","date_gmt":"2021-05-04T14:21:34","guid":{"rendered":"https:\/\/www.drlucasplasticsurgery.ch\/bichectomie-ablation-des-boules-de-bichat\/"},"modified":"2025-04-21T20:48:57","modified_gmt":"2025-04-21T20:48:57","slug":"bichectomy-buccal-fat-pad-removal","status":"publish","type":"page","link":"https:\/\/www.drlucasplasticsurgery.ch\/en\/bichectomy-buccal-fat-pad-removal\/","title":{"rendered":"Bichectomy (Buccal fat pad removal)"},"content":{"rendered":"

Anatomy and ideal proportion:<\/h3>\n

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Bichat’s balls are fatty masses found under the cheekbone at the cheek level. Some people have larger Bichat balls. Through an incision inside the mouth, under local anesthesia, we can remove these Bichat balls and give you the appearance of hollow and sharp cheeks.<\/p>\n

Bichectomy is a frequently requested treatment because it is a simple, short surgery done under local anesthesia and significantly refines the lower face, ultimately giving a slim and slender face.<\/p>\n

Technique:<\/h3>\n

Under local anesthesia, 1.5 cm incision inside the mouth then removal of Bichat’s balls.<\/p>\n

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Results:<\/h3>\n

Time frame for final results: <\/b>
\n2 weeks to see a significant result, 2 to 5 months to see the final result<\/p>\n

Longevity of results :<\/b>
\nDefinitive<\/p>\n

Before surgery:<\/h3>\n

Stop smoking 1 month before the operation (risk of skin necrosis important if active smoking)
\nDo not take Aspirin 10 days before the operation, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its stop or replacement.
\nTake Arnica capsules 5 capsules 5 times a day for 5 days before surgery to prevent hematoma.<\/p>\n

Intervention :<\/h3>\n

Pain:<\/b> the pain during the intervention will be almost non-existent, with an adapted anesthesia
\nDuration of the operation:<\/b> 60 minutes
\nAnesthesia:<\/b> local more or less with sedation
\nLocation:<\/b> operating room
\nAmbulatory<\/b><\/p>\n

After surgery:<\/h3>\n

Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<\/p>\n

Social eviction :<\/h3>\n

4- 7 days with swelling
\nReturn to work:<\/b> 4-7 days
\nReturn to sport:<\/b> 10 days<\/p>\n

Instructions:<\/h3>\n

Bed rest without major effort (which can cause the opening of small vessels during effort and lead to a hematoma) for 48 hours
\nIce for 1 week, as often as possible, to reduce swelling
\nArnica capsules 5 capsules 5 times a day for 5 days after surgery to prevent hematoma
\nAugmentin 1 g twice a day for 3 days
\nPrednisone 30 mg for 3 days then 20 mg for 3 days
\nFresh, non-acidic, soft diet for 5 days
\nSutures fall out spontaneously between 1 and 2 weeks
\nMouthwash after each meal for 1 week
\nPermanent cessation of smoking to prolong the effect of the surgery and minimize complications
\nCheck-up by Dr. Lucas on D2, D7, 3 weeks, 3 months, 6 months<\/p>\n

Complications of bichectomy:<\/h3>\n