Bichectomy or removal of Bichat's balls
Bichectomy or removal of Bichat’s balls is a relatively common surgery.
Objective: highlight the cheekbones and give a more oval shape to the face
Bichat’s balls are yellowish fat accumulations about the size of a chicken egg yolk. They are located in the thickness of each cheek, in front of the masseter muscle.
It is removed through a small incision of 0.5-1 cm inside the mouth on each side.
It is a procedure widely used by models and television presenters to improve their facial appearance.
B/A Case 1
Is it possible to combine aesthetic medicine with facial surgery?
Great results can be achieved with small details such as those provided by aesthetic medicine. The key is to apply them in the right quantities and locations, and this can only be achieved if a correct initial diagnosis is made.
We will always carry out a comprehensive assessment of facial aesthetics, and you can choose from three paths:
With cosmetic surgery we can
Repositioning tissues that have fallen
Recover tissues that have atrophied over the years.
With aesthetic medicine we can
Correct small asymmetries with a high degree of detail that we cannot achieve with surgery.
Correct dynamic wrinkles with botulinum toxin.
Increase skin brightness with hydration and nutrition thanks to hyaluronic acid.
Do you need to highlight your cheekbones?
Frequently Asked Questions
It is true that it could be done perfectly with local anesthesia, and this is what is done in many centers. But for us, safety is the most important thing. There are multiple vascular structures in the cheek that can bleed. If it bleeds, all the blood can fall into the patient's mouth and be aspirated, thus reaching the lung, suffocating the patient.
We could never allow a procedure that could be so harmless to generate such serious consequences that are actually completely avoidable by performing the procedure under a mild general anesthetic.
Great results can be achieved with small details such as those provided by aesthetic medicine. The key is to apply them in the right quantities and locations, and this can only be achieved with a correct initial diagnosis.
When we carry out a comprehensive facial assessment, we may encounter cases that require only aesthetic medicine, others surgery and others, in the majority of cases, where both techniques are combined.
With cosmetic surgery we can:
- Repositioning tissues that have fallen
- Recover tissues that have atrophied over the years
With aesthetic medicine we can:
- Correct small asymmetries with a high level of detail that we cannot achieve with surgery
- Correcting dynamic wrinkles with botulinum toxin
- Increase skin brightness with hydration and nutrition thanks to hyaluronic acid
No, facial surgery does not usually change the expression of the face as an “accident” or “side effect” of the surgery. We will only change the expression if that is the OBJECTIVE. For example: in faces that express a feeling of sadness or tiredness, usually due to an extreme drooping of the side of the eyebrows or the lateral corner of the eyes. In these cases, their structure and position can be anatomically modified.
Postoperative
It is usually permanent, since it is a surgery in which we remove the Bichat balls and they do not usually reappear. It is very important to achieve natural results and adapt to the unique facial characteristics of each patient.
No. Because we do not treat any muscular or skin structures of the patient.
After 1 month of the intervention, the inflammation is usually minimal and the results are usually visible.
No. There is discomfort due to the initial inflammation, but with local cold and anti-inflammatories it remains a mild, punctual discomfort.
