Bichectomy: technical systematization applied in 27 consecutive cases
INTRODUCTION: Despite buccal fat removal having been performed for a long time, its popularity has increased only in recent years, leading to a rise in the demand for bichectomy in plastic surgery clinics. Buccal fat pad removal is still considered controversial, even when properly indicated, especi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2018-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1918/en_v33n1a11.pdf |
| _version_ | 1797419058642026496 |
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| author | Gustavo Steffen Alvarez Evandro José Siqueira |
| author_facet | Gustavo Steffen Alvarez Evandro José Siqueira |
| author_sort | Gustavo Steffen Alvarez |
| collection | DOAJ |
| description | INTRODUCTION: Despite buccal fat removal having been performed for a long time, its popularity has increased only in recent years, leading to a rise in the demand for bichectomy in plastic surgery clinics. Buccal fat pad removal is still considered controversial, even when properly indicated, especially with the lack of a systematized surgical technique to make it safe and reproducible.
METHODS: The intraoral bichectomy described herein was systematically applied in 27 consecutive patients from January 5, 2016 to December 15, 2016.
RESULTS: The mean patient age was 32 years; 15% were men, and 85% were women. Isolated buccal fat pad removal was performed in six patients (22%) and in combination with other procedures in 21 patients (78%). The main procedure combined was neck liposuction (55%), and most patients were operated under general anesthesia (93%). No permanent or significant complications occurred, and there were only two minor complications, i.e., inferior mandibular neuropathy and significant swelling, which improved without treatment during the following weeks.
CONCLUSIONS: Buccal fat removal can be performed in a predictable, fast, and safe manner, leading to volumetric reduction of the lower third of the face, enhancing facial shape. When applied in a safe surgical environment, following all surgical security standards and considering the complex anatomical boundaries of the cheek, our technique can yield secure and satisfactory outcomes both for surgeons and patients. |
| first_indexed | 2024-03-09T06:43:06Z |
| format | Article |
| id | doaj.art-26307cb84b1c4b11a509c6baf331c26c |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:43:06Z |
| publishDate | 2018-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-26307cb84b1c4b11a509c6baf331c26c2023-12-03T10:43:10ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-03-013301748110.5935/2177-1235.2018RBCP0011Bichectomy: technical systematization applied in 27 consecutive casesGustavo Steffen Alvarez0Evandro José Siqueira1Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: Despite buccal fat removal having been performed for a long time, its popularity has increased only in recent years, leading to a rise in the demand for bichectomy in plastic surgery clinics. Buccal fat pad removal is still considered controversial, even when properly indicated, especially with the lack of a systematized surgical technique to make it safe and reproducible. METHODS: The intraoral bichectomy described herein was systematically applied in 27 consecutive patients from January 5, 2016 to December 15, 2016. RESULTS: The mean patient age was 32 years; 15% were men, and 85% were women. Isolated buccal fat pad removal was performed in six patients (22%) and in combination with other procedures in 21 patients (78%). The main procedure combined was neck liposuction (55%), and most patients were operated under general anesthesia (93%). No permanent or significant complications occurred, and there were only two minor complications, i.e., inferior mandibular neuropathy and significant swelling, which improved without treatment during the following weeks. CONCLUSIONS: Buccal fat removal can be performed in a predictable, fast, and safe manner, leading to volumetric reduction of the lower third of the face, enhancing facial shape. When applied in a safe surgical environment, following all surgical security standards and considering the complex anatomical boundaries of the cheek, our technique can yield secure and satisfactory outcomes both for surgeons and patients.http://www.rbcp.org.br/export-pdf/1918/en_v33n1a11.pdf rhytidoplastyanatomy regionalreconstructive surgical procedures |
| spellingShingle | Gustavo Steffen Alvarez Evandro José Siqueira Bichectomy: technical systematization applied in 27 consecutive cases Revista Brasileira de Cirurgia Plástica rhytidoplasty anatomy regional reconstructive surgical procedures |
| title | Bichectomy: technical systematization applied in
27 consecutive cases |
| title_full | Bichectomy: technical systematization applied in
27 consecutive cases |
| title_fullStr | Bichectomy: technical systematization applied in
27 consecutive cases |
| title_full_unstemmed | Bichectomy: technical systematization applied in
27 consecutive cases |
| title_short | Bichectomy: technical systematization applied in
27 consecutive cases |
| title_sort | bichectomy technical systematization applied in 27 consecutive cases |
| topic | rhytidoplasty anatomy regional reconstructive surgical procedures |
| url | http://www.rbcp.org.br/export-pdf/1918/en_v33n1a11.pdf |
| work_keys_str_mv | AT gustavosteffenalvarez bichectomytechnicalsystematizationappliedin27consecutivecases AT evandrojosesiqueira bichectomytechnicalsystematizationappliedin27consecutivecases |