What are Bichectomia Side Effects?

What are Bichectomia Side Effects?

Bichectomia, also known as buccal fat removal, is a cosmetic surgery aimed at reducing the fullness of the cheeks to create a more contoured facial appearance. While many individuals seek this procedure to enhance their facial aesthetics, it is essential to be aware of the potential side effects and risks involved. This article delves into the various bichectomia side effects, providing a comprehensive understanding for those considering this surgery.

What is Bichectomia

Bichectomia is a relatively simple procedure that involves the removal of the buccal fat pads located in the lower part of the cheeks. This surgery can significantly alter one’s facial appearance, making it look slimmer and more sculpted. However, like any surgical procedure, it comes with its own set of potential complications and side effects.

Common Side Effects of Bichectomia

Every surgical procedure carries certain risks, and bichectomia is no exception. Some of the most common side effects associated with this procedure include:

  • Swelling and Bruising: Post-operative swelling and bruising are normal and typically subside within a few weeks. The extent of these symptoms varies from person to person.
  • Pain and Discomfort: Mild to moderate pain and discomfort in the cheek area can be expected after the surgery. Pain management medications are usually prescribed to alleviate these symptoms.
  • Infection: As with any surgery, there is a risk of infection. Following the surgeon’s post-operative care instructions meticulously can minimize this risk.
  • Asymmetry: There is a possibility of achieving uneven results, leading to facial asymmetry. This can occur if the buccal fat pads are not removed evenly.
  • Numbness: Temporary numbness in the cheeks may occur due to nerve irritation or damage during the procedure. This usually resolves over time.

Long-Term Complications

While most side effects of bichectomia are temporary, there are potential long-term complications that patients should be aware of:

  • Hollow Cheeks: Excessive removal of buccal fat can lead to overly hollow cheeks, creating an unnatural appearance and potentially causing the face to age prematurely.
  • Permanent Nerve Damage: In rare cases, nerve damage can result in permanent numbness or loss of sensation in the cheek area.
  • Scarring: Although incisions are made inside the mouth, there is still a slight risk of scarring, which could affect the appearance and function of the mouth.

Managing and Preventing Side Effects

Proper care and attention to post-operative instructions can significantly reduce the risk of side effects and complications. Here are some tips for managing and preventing bichectomia side effects:

  • Follow Post-Operative Care Instructions: Adhering to the surgeon’s guidelines, including taking prescribed medications and maintaining oral hygiene, is crucial for a smooth recovery.
  • Monitor for Signs of Infection: Keeping an eye out for symptoms such as excessive swelling, redness, and discharge can help in early detection and treatment of infections.
  • Avoid Strenuous Activities: Rest and avoid activities that could strain the facial muscles during the initial recovery period.
  • Attend Follow-Up Appointments: Regular check-ups with the surgeon ensure that the healing process is on track and any complications are addressed promptly.

Who Should Avoid Bichectomia?

Certain individuals should reconsider undergoing bichectomia due to the potential risks and complications. These include:

  • People with Naturally Thin Faces: Removing buccal fat in individuals with already thin faces can lead to an overly gaunt appearance.
  • Smokers: Smoking can impair healing and increase the risk of complications such as infection and poor wound healing.
  • Individuals with Certain Medical Conditions: Those with conditions that affect healing or increase surgical risks, such as diabetes, should consult thoroughly with their surgeon.


What are the potential risks of bichectomia?

The potential risks include swelling, bruising, pain, infection, asymmetry, numbness, hollow cheeks, permanent nerve damage, and scarring.

How long does it take to recover from bichectomia?

Recovery time varies, but most patients can resume normal activities within a week. Swelling and bruising typically subside within a few weeks.

Can bichectomia cause permanent changes?

Yes, in some cases, permanent changes such as hollow cheeks, nerve damage, or scarring can occur.

Is bichectomia painful?

There may be some pain and discomfort after the surgery, but pain management medications can help alleviate these symptoms.

What should I do if I experience severe side effects after bichectomia?

If you experience severe side effects, contact your surgeon immediately. Early intervention can prevent complications from worsening.

Are there alternatives to bichectomia?

Yes, non-surgical options such as facial contouring with fillers can provide similar aesthetic results without the risks associated with surgery.

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Bichectomia, while offering aesthetic benefits, comes with its own set of risks and potential side effects. Understanding these side effects and taking appropriate measures to manage and prevent them is crucial for anyone considering this procedure. By following post-operative care instructions and consulting with a qualified surgeon, patients can minimize risks and achieve the desired outcomes. Always weigh the benefits against the potential complications to make an informed decision about undergoing bichectomia.