Op. Dr. Bekir Can Gümüşlü
Online
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30 - 45 Minutes
Permanent
The Next Day
Local Anaesthesia
Some individuals, no matter how much they diet or how thin they become, cannot get rid of that “chubby” and “baby-faced” expression. The reason for this is the stubborn fatty tissues located in the deep plane of the cheeks, known as Bichat’s Fat Pads (Buccal Fat Pad). These fats are resistant to weight loss.
Op. Dr. Bekir Can Gümüşlü provides his patients with sharper cheekbones, a thinner face, and the popularly known “Hollywood Cheek” look through Bichectomy, the surgical removal of these fats. Bichectomy is a facial contouring art that transforms a round (U-shaped) face into a more angular, attractive, and inverted triangle (V-shaped) form.
Not every cheek should be thinned. This procedure is not recommended for patients whose faces are already thin and long, as it may lead to a hollowed-out appearance in the future. Ideal candidates include:
Those whose faces remain excessively round despite having a normal body mass index.
Individuals with full cheeks and indistinct cheekbones.
Patients who frequently bite the inside of their cheeks.
Women who want more feminine and sharp facial features (or men desiring more masculine lines).
During the examination, Op. Dr. Bekir Can Gümüşlü plans the most accurate treatment by distinguishing whether the issue is “excess fat or masseter muscle hypertrophy.”
Bichectomy is a comfortable 30–45 minute procedure generally performed under local anesthesia, completed while conversing with the patient.
A tiny 1 cm incision, invisible from the outside, is opened from the inside of the cheek.
Bichat’s fat pads are reached. Not all of these fats, but a portion sufficient to thin the face (40–50%), is gently removed.
The incisions are closed with 1–2 self-dissolving sutures.
Immediately after the procedure, the patient can return home or to work. There are no visible scars, sutures, or bandages on the cheeks from the outside.
Bichectomy is a surgery that requires “patience.”
Despite the fat removal, the cheeks may swell during the first 1–2 weeks due to surgical trauma (as if having a tooth extracted). During this process, the face may look more swollen rather than thinner; this is completely normal.
For the first 3 days, hot, hard, and grainy foods should be avoided; mouthwash should be used after every meal.
The subsiding of edema and the emergence of cheekbones as the cheeks curve inward begins at the 3rd week, while the full result settles by the 3rd month.
This is the biggest concern regarding bichectomy. Bichat fat is different from superficial cheek fat and does not melt with age. However, Dr Bekir Can Gümüşlü does not remove all of this fat, but only the excess (preservative surgery), thereby eliminating the risk of future sagging.
No. When the local anaesthetic injection is administered, you will feel a slight sting, similar to a mosquito bite, but you will not feel any pain during the procedure itself.
The removed fat tissue cannot be replaced. However, if you wish to restore volume to your face, fat injections or filler treatments can be performed. Therefore, it is important to discuss this thoroughly with your surgeon before making a decision.
Yes, bichectomy is frequently performed on men to create a more angular and masculine jawline. The aim is to achieve a straighter reduction rather than a curved one, as seen in women.
Nothing should be eaten for the first 2-3 hours after surgery until the numbness wears off. After that, it is sufficient to eat foods such as warm soup and purées on the first day. Normal eating can be resumed the following day.
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