Bichectomy

The procedure is usually performed under local anesthesia or sedation, depending on the extent of the surgery. During the procedure, the surgeon makes small incisions inside the mouth and uses a small instrument to remove the buccal fat pads. The incisions are closed with dissolvable sutures and the procedure usually lasts about an hour.

Bichectomy, also known as buccal fat removal, is a surgical procedure that involves the removal of buccal fat pads, located in the cheeks. The procedure is designed to slim the face and create a more defined cheekbone structure.

Creates a more defined and sculpted facial appearance.
Reduces the appearance of prominent cheeks.
Can enhance the natural contours of the face.

There are no specific types of bichectomy, as the procedure is relatively simple and involves the same technique regardless of the patient’s individual needs or goals.

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INFORMED CONSENTS

BICHECTOMY

Pockets of buccal fat are located on each side of the cheek and extend from the temple to the lower jaw. Reduction of this fat is a standard procedure for face slimming. It is a moderate result and not a procedure involving significant body weight loss. This surgery’s goal is to reduce cheek fat subtly. The goal is not to remove all the fat but to reduce it. The area that is affected by the surgery is the lower part of the cheek, which is lateral to the corners of the mouth, and the result is generally not noticeable in the cheekbone area.

Risks and complications

The expected result is a minor to moderate reduction in cheek fat. I understand this will be different from significant weight loss. I know that, although rare, this surgery may result in permanent or temporary facial nerve damage that could result in movement or sense changes. I understand that the parotid duct (the tube that drains saliva into the mouth) could be damaged, resulting in a salivary gland or saliva retention and requiring additional surgery. I understand that bleeding or infection may occur and result in the need for further treatment. I understand that excessive fat removal could result in a hole now or in the future and may require additional treatment. I understand that the final result may not be as dramatic as I desire.

INFORMED CONSENT FOR CONSCIOUS SEDATION

You are hereby informed that you have the right to know the details of the procedure to which you are going to undergo, the benefits it offers and the most frequent complications that it implies and that could occur in it.

I have been informed by the Dr/a and understand the purpose and nature of IV conscious sedation.

I understand that IV CONSCIOUS SEDATION placement includes possible risks such as complications from drug use and anesthesia, which include, but are not limited to, tenderness, bruising (hematomas- color changes), nausea, vomiting, bleeding, infection , tingling and allergic reaction. It has been explained to me that sensitivity or inflammation of the placement site to sedation can occur since some sedative medications can cause a burning or itching sensation during application, in addition, that there may be a small edema in the area of application and They may even take a few days to go away and can be treated by applying warm compresses to the site.

I understand about the limitations on drinks and food for 8 hours to fast for the procedure. Major changes in health status have been reported to me and include fever and cold. I am aware that I must inform the doctors about changes before the planned procedure with IV conscious sedation such as taking medications, previous illnesses and previous experiences with anesthesia.

I am aware that I must attend my appointment with a companion by the time the procedure is completed and I can later be discharged. I am advised not to make important decisions or drive or go on my own in a taxi or Uber service after having undergone IV conscious sedation. I understand that if I am pregnant some medications or drugs may be harmful to my baby and may cause birth defects or miscarriage. I recognize the importance of notifying doctors of suspected pregnancy. I have been informed and understand that sedation costs are part of the surgical and non-surgical procedures to be performed. These costs include the preparation of the IV sedation, medications to be used and anesthesiologist fees. I have been given the opportunity to ask questions related to the purpose of IV sedation and have received satisfactory answers. I assume responsibility for the possible risks previously described and I authorize the doctors of Centro Maxillofacial San Pedro SAS, the application of IV sedation, including the necessary medications.

I GIVE MY CONSENT

Carefully review the information, write down the doubts to be able to solve them with the surgeon prior to your surgery. These documents will be signed the day of your surgery.

Is bichectomy a painful procedure?

Patients may experience some discomfort and swelling after the procedure, but the pain is usually controlled with over-the-counter or prescription pain relievers.

How long does it take to recover from a bichectomy?

Most patients are able to return to work and other normal activities one week after surgery, but it may take several weeks for the swelling to completely disappear.

What happens if I gain weight?

There may be a slight increase in subcutaneous facial fat but it will not give the appearance of a bichat pocket.

Will my skin become saggy?

With or without bichats, the skin becomes saggy over the years due to decreased collagen production.

Dr. Hugo has current credentials and accreditations to perform procedures both in his facilities and in the following hospitals:

What is it?

Benefits

Classification

Before and After

Informed Consents

Frequently Asked Questions (FAQ)