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This is a procedure that is performed under local anesthesia and consists of removing some accumulations of fat located on the cheeks so that the face looks thinner, and must be performed by a Plastic Surgeon.


Bichectomy is a technique that is booming in the cosmetic surgery sector. The procedure consists of the extraction, through a minor surgical intervention, of the so-called Bichat balls, glands of fatty tissue that are found on the cheeks, just below the cheekbones, and completely separated from other tissues. These glands do not fulfill any specific function in adults, but only add volume to the area, making the face rounder depending on its size and the shape of the person's facial contour.

In babies these glands are larger, since it is thought that they may have some function related to breastfeeding. The Bichat balls characterize the round and bulging face of the little ones. As children get older, the fat tissue diminishes little by little, making their faces thinner. However, not in all individuals it is reduced in the same way, so people with a more rounded profile and poorly defined cheekbones have larger Bichat balls than those with a more refined face.

When to have a bichectomy

Bichectomy is indicated for thin people, of either sex, who have a rounded and poorly defined appearance of the face, without this being due to possible obesity or overweight. Also for people who wish to have a more stylized and angular face, since by removing the Bichat balls, it is possible to give a slimmer appearance to the face, as a result of the sagging of the cheek that accentuates the cheekbones more.

The surgery is of a minor nature, since it involves simple cuts that are made on the inside of the cheeks, and from which the Bichat balls are extracted. It is not a complicated intervention, it lasts a short time, approximately 40 minutes, and does not require extensive aftercare, so you can return to your daily routine as soon as you leave the center.

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