Bichectomy - A Simple Intraoral Surgical Procedure with Great Facial Results


Marie François Xavier Bichat was a French anatomist, physician, and biologist, which lived in 1771 through 1802 who first described an encapsulated mass of fat in the cheek on the outer side of the buccinator muscle.

The buccal adipose body of the cheeks has six extensions spread over the masseteric, superficial temporal, deep temporal, pterygomandibular, sphenopalatine and inferior orbital areas.

Bichectomy or Bichatectomy, a more correct term, or simply cheek surgery in a lay term is a surgical procedure that removes a structure known as Bichat fat pad, which in some cases makes a person to look like overweight and not in harmony with the facial contour/balance laterolaterally.

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A patient candidate for this type of surgery normally has an excessive facial roundness, full aspect which give him/her a heavy-looking face.

Bichatectomy can be performed if a differentiation of the middle third of the face is desired giving a marked further cheekbones (zygoma) expression.

This aesthetic surgical procedure gives the face a more youthful appearance and it is possible to achieve a thinner face appearance, more esthetic within a harmonious balance.

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