Bichectomy in Turkey is one of the best option for people looking for getting Bichectomy abroad. Dr. Erman Ak is one of the best plastic surgeon for Bichectomy in Turkey, you can check his Bichectomy prices, reviews or before after pictures.
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Bichectomy is a popular procedure in the field of aesthetic surgery aimed at enhancing facial contours and achieving a slimmer appearance. This intervention involves the removal of the buccal fat pads located in the cheek area through a small incision inside the mouth. The goal is to give the face a more contoured and attractive appearance. However, like any surgical procedure, bichectomy requires attention and expertise. Excessive fat removal can lead to a more hollow facial appearance as one ages, and it is crucial to protect anatomical structures during surgery, especially nerves and salivary glands. For this reason, the procedure should be performed with care by experienced surgeons.
| Purpose of the Surgery | To reduce the fat tissue in the cheek area, making facial contours sharper and more defined, thus achieving a slimmer and more aesthetic facial appearance. |
| Indications | A round and full facial appearance, the desire for sharper facial contours, and genetic predisposition to excess fat accumulation in the cheeks. |
| Surgical Method | Buccal fat pads (cheek fat tissue) are removed through a small incision inside the mouth. No external incisions are made. |
| Type of Anesthesia | Local anesthesia or sedation, and general anesthesia if necessary. |
| Duration of Surgery | 30-60 minutes. |
| Recovery Period | Mild swelling and tenderness may occur for the first 1-2 weeks; full recovery takes about 4 weeks. |
| Possible Complications | Bleeding, infection, asymmetry, nerve damage, excessive thinning or hollowing. |
| Hospital Stay | Usually discharged on the same day. |
| Longevity of Results | Permanent; however, weight gain can lead to fat accumulation in the cheeks. |
| Preoperative Preparation | Quitting smoking, avoiding blood-thinning medications, and maintaining oral hygiene. |
| Postoperative Care | Maintaining oral hygiene, using prescribed mouthwashes and medications, avoiding strenuous activities, and attending regular doctor’s check-ups. |
The history of the buccal fat pad, which forms the basis of bichectomy, began in 1732 with German anatomy professor Lorenz Heister, who incorrectly identified this structure as a gland. However, in 1801, French anatomist Xavier Bichat correctly identified it as adipose (fat) tissue, leading it to be known as “Bichat’s fat pad.” For a long time after Bichat’s discovery, this structure was considered purely an anatomical formation. But in 1977, Peter Egyedi gave it clinical importance by describing a method using the buccal fat pad as a pedicled flap to close oroantral and oronasal fistulas.
In 1986, the anatomical studies by Tideman and colleagues provided detailed insights into the structure and vascular supply of this fatty tissue, expanding its applications in surgery. Its integration into aesthetic surgery occurred in 1991 when Alan Matarasso introduced buccal fat removal as a technique to reduce cheek fullness and enhance facial contours.
By the 2020s, bichectomy has become quite popular among aesthetic surgeons, especially influenced by social media and celebrities. However, despite the increase in the number of procedures, this intervention remains a subject of debate. Discussions focus on patient selection, preserving natural facial anatomy, and potential long-term effects. Therefore, meticulous evaluation by experienced surgeons is crucial for bichectomy procedures.
Bichectomy is ideal for individuals who wish to define their facial contours and reduce the fullness in the mid-face area. It is generally suitable for those who have prominent buccal fat pads resulting in round and full cheeks, and who cannot achieve a more sculpted look despite weight loss. This situation is sometimes colloquially referred to as “chipmunk cheeks.” Bichectomy aims to make the cheekbones more prominent and achieve a slimmer facial profile. However, it is important to remember that this procedure is not suitable for everyone. Factors such as facial anatomy, skin elasticity, age, and overall health must be carefully evaluated. In particular, the removal of buccal fat in older patients can accentuate signs of aging later on. Therefore, those considering this procedure should undergo a comprehensive consultation process and a personalized assessment.
Although bichectomy is an aesthetic procedure aimed at slimming and defining facial contours, it is not suitable for everyone. Individuals with naturally slim facial structures or those with malar hypoplasia are contraindicated for this procedure because removing the buccal fat can lead to a hollow facial appearance, especially as they age. In patients over 45 years old, since natural fat loss accelerates with age, early signs of aging may be observed after the procedure.
Additionally, the procedure is not recommended for those with serious medical conditions that increase surgical risks. Patients who smoke should quit smoking prior to surgery to reduce the risk of complications. In obese patients, removing the buccal fat may not result in a noticeable change in facial contours. Therefore, patient selection for bichectomy is extremely important, and both individual anatomical structure and overall health must be considered.
Bichectomy is an aesthetic surgical procedure performed to define facial contours and reduce cheek fullness. It is usually done under local anesthesia with the patient lying on their back. The surgeon makes a small incision inside the mouth, typically aligned with the upper second molar tooth. This incision is usually 1-2 cm long and leaves no visible external scar.
After the incision, the surgeon carefully dissects between the fibers of the buccinator muscle to reach the buccal fat pad. Gentle external pressure often helps the fat pad protrude into the surgical field. At this stage, the surgeon removes the desired amount of fat with great care since removing too much fat can lead to an excessively hollow and thin facial appearance as the patient ages.
Once the fat tissue is removed, bleeding is controlled, typically using a method called cauterization. After ensuring bleeding control, the incision is closed with absorbable sutures. The procedure usually takes about 30 minutes, and in most cases, patients can be discharged the same day.
Potential complications during bichectomy include damage to the buccal branch of the facial nerve or the ducts of the parotid gland. These risks can be minimized by the surgeon’s anatomical knowledge and careful surgical technique, making it essential that the procedure be performed by a specialist in this field.
While bichectomy draws attention due to its aesthetic results, it may carry side effects and potential complications like any surgical procedure. Swelling and bruising are common postoperative side effects and usually subside on their own within a few weeks. Patients may also experience pain and discomfort after the operation, which can be managed with pain relievers recommended by the doctor.
The risk of infection exists in all surgical procedures. Keeping the incision area clean and using antibacterial mouthwashes minimize this risk. Although rare, bleeding complications may occur. Additionally, damage to the buccal branch of the facial nerve can lead to temporary or permanent numbness or facial muscle weakness.
Another important risk is injury to the parotid duct (Stensen’s duct). This can cause fluid accumulation and swelling inside the cheek. Asymmetry may occur if the buccal fat pads are removed unevenly and might require aesthetic revision. Excessive fat removal can lead to a hollow or more gaunt appearance as the patient ages.
Hematoma and seroma are rare but may require surgical intervention. Some patients may also have difficulty fully opening their mouths after the operation, a condition known as trismus.
Minimizing such risks depends on the surgeon’s experience, thorough evaluation, and careful surgical technique.
Bichectomy has become an increasingly popular procedure among patients seeking facial aesthetic improvements. According to 2023 data from the American Society of Plastic Surgeons, the patient satisfaction rate for this procedure is reported at approximately 85%. Despite this high success rate, results can vary from person to person. Such differences are generally related to the patient’s facial anatomy, the surgeon’s experience, and the surgical technique used.
While the potential benefits of bichectomy include sharper facial contours and a more aesthetic appearance, risks such as infection, nerve damage, or excessive volume loss must also be considered. Especially in patients who naturally experience volume loss with age, the procedure may result in undesired hollowing later on. Therefore, individuals considering bichectomy should undergo a detailed examination and consult with a qualified plastic surgeon to determine if the procedure is suitable for them.
Preparing for bichectomy involves a series of important steps to enhance the safety and success of the surgery. This process includes a thorough evaluation of the patient’s health status, making necessary surgical preparations, and implementing lifestyle changes.
A detailed medical assessment is performed to determine the patient’s suitability for surgery. Conditions that may complicate surgery, such as bleeding disorders, uncontrolled diabetes, or heart disease, are identified at this stage. During the physical examination, the anatomy of the face and the amount of buccal fat tissue are evaluated. Photographs of the patient’s face are taken from different angles for surgical planning. Magnetic resonance imaging (MRI) or computed tomography (CT) scans may be used if needed to better understand the anatomical structures.
During the consultation with the patient, the surgeon explains the details of the procedure, possible risks, and expected outcomes. To set realistic goals, before-and-after photos of patients with similar facial structures may be reviewed. The surgeon also discusses potential alternative treatment options. This process allows the patient to make an informed decision.
Patients must stop smoking before and after surgery, as smoking negatively affects healing and increases the risk of complications. Additionally, medications that can increase bleeding, such as aspirin and non-steroidal anti-inflammatory drugs, should be discontinued. Patients are advised to adopt a healthy lifestyle before the surgery to support their general health.
Patients should follow fasting and hygiene instructions before the surgery. If anesthesia is planned, it is important not to eat or drink anything after midnight before the surgery. Antiseptic mouthwashes may be used for oral hygiene. Arrangements for transportation and postoperative support should be made.
Before surgery, patients should strengthen their support systems, understand the recovery process, and share their concerns with professionals. Maintaining realistic expectations promotes a more comfortable recovery period. These steps ensure that the patient is both physically and mentally prepared for bichectomy.
Postoperative care following bichectomy is critical for a healthy recovery and achieving desired aesthetic outcomes. Initially, patients are advised to rest, ideally with an adult companion, for the first 24 hours. This companion can help meet the patient’s basic needs and detect any potential complications early.
Mild pain, numbness, or swelling is common after surgery. These symptoms can be alleviated with over-the-counter pain relievers like acetaminophen or medications prescribed by the doctor. Swelling typically peaks within 48-72 hours and then subsides. Applying cold compresses can help control swelling. However, severe pain may indicate infection, and in such cases, you should contact your surgeon.
A soft and liquid-based diet is recommended in the initial days after surgery. This helps protect the surgical areas and speed up healing. Foods such as pureed vegetables, yogurt, applesauce, and oatmeal are suitable options. Additionally, a diet rich in protein, vitamins, and minerals supports the recovery process.
Maintaining oral hygiene after the surgery is essential for preventing infection. You can begin using antiseptic mouthwashes 24 hours after the operation, as recommended by your surgeon. Be careful not to harm the surgical sites while brushing your teeth.
During the recovery period, avoid heavy physical activities and keep your head elevated. Sleeping with your head raised can help reduce swelling. Avoid movements that may trigger bleeding or discomfort for at least one week.
If you notice signs of infection such as redness, fever, severe pain, or unusual discharge from the surgical area, contact your surgeon without delay. Regular follow-up appointments are important for evaluating the healing process and addressing any concerns.
An average Buccal Fat Removal cost in Turkey is between 2,500€ to 3,000€.
All-Inclusive Bichectomy packages include;
References:
https://my.clevelandclinic.org/health/treatments/23396-buccal-fat-removal
https://www.plasticsurgery.org/cosmetic-procedures/buccal-fat-removal
After a Bişektomi, the removed fat tissue does not regenerate, so its effects are considered permanent. However, the aging process, weight fluctuations, and genetic factors can affect the shape of your face over time. That is, even if fat does not accumulate again in the cheek area after the procedure, your face will continue to age and you may gain or lose weight in other areas. Therefore, even though the results are largely permanent, maintaining your overall health and skin care ensures the best long-term outcome.
Individuals who have noticeable fullness in their cheeks and desire a slimmer, sharper facial appearance are generally candidates for this procedure. Those with a round or oval face who wish for a more triangular look may particularly opt for it. However, it may not be recommended for those who are very thin or already have prominent cheekbones. It is also important to be in good health, have realistic expectations, and be able to follow post-operative care instructions.
With proper patient selection, significant facial collapse is not usually expected. However, if you already have a thin face or if the surgeon removes too much fat, an unintentional excessive inward sinking of the facial features and a “collapsed” appearance may occur. That is why it is important to clearly communicate your expectations with your doctor during a detailed preoperative evaluation and measurements. This helps prevent over-removal of fat and leads to a natural, balanced result.
Typically, mild to moderate pain may be experienced during the first few days after the procedure. This pain is usually managed with prescribed painkillers and ice application. Most patients experience significant relief by the end of the first week. There may be mild swelling, bruising, and tenderness inside the mouth in the initial days, but these generally subside considerably within a week. By following your doctor’s care instructions, maintaining good oral hygiene, and resting, you can minimize the pain.
Bişektomi reduces the fat tissue in the cheeks, thereby slimming the middle part of the face. Jawline, on the other hand, refers to various interventions (surgical or fillers) aimed at accentuating the jawline. You should decide which procedure is more appropriate for you based on which area of your face needs more visual improvement. If you are bothered by round or full cheeks, a Bişektomi may be more suitable; if your jawline is insufficient or if enhancing the jaw is necessary for your facial proportions, then jawline procedures are recommended.
Within the first 2-4 weeks, swelling decreases and the facial contours begin to become more defined. However, it generally takes 3 to 6 months for the final results to fully settle. During this period, tissue healing occurs and the facial features settle naturally. Most patients achieve their desired permanent result, especially by the end of the 6th month. It is important to follow your doctor’s recommended care regimen to speed up healing and reduce swelling.
Typically, beautiful results are achieved in individuals with a full or round face who are dissatisfied with the prominence of their cheeks. It can also help to enhance contours in square or oval faces. However, in individuals with a thin face, removing too much fat may risk making the face appear overly sunken. Therefore, it is important to evaluate your facial structure with your doctor before the procedure, share your expectations, and discuss whether the surgery is appropriate for your facial anatomy.
The fat tissue removed during a Bişektomi cannot be replaced, as it does not grow back. If you feel that your cheeks have become too thin after the procedure, a certain amount of volume can be added through methods such as fillers or fat injections. However, this cannot fully replace the natural buccal fat tissue. Therefore, it is essential to discuss your expectations, the potential outcomes, and the fact that the procedure is irreversible in detail with your doctor before deciding on a Bişektomi.
A Bişektomi should be performed by a surgeon specialized in aesthetic and plastic surgery. The procedure is carried out through small incisions inside the mouth and is usually completed in about 30-45 minutes under local anesthesia. Working with an experienced doctor is important for a proper evaluation of facial anatomy and to minimize potential risks. Additionally, following post-operative oral hygiene and nutritional recommendations helps speed up healing and reduce the risk of infection. Therefore, it is recommended to consult an experienced plastic surgeon.
Turkey has become a bichectomy hub with 1.4 million health tourists in 2023 generating $2.3 billion. The healthcare system of the nation has 40 accredited establishments at the international level. Turkey’s expertise in aesthetic surgeries is shown by the 2022 cosmetic procedures reaching about 470,900. Patients benefit from advanced medical technologies and the use of highly trained surgeons trained abroad. The Turkish government actively encourages medical tourism, placing Turkey in the top 10 in terms of health tourism globally. Moreover, due to its location in between Europe and Asia as well as its rich cultural heritage, Turkey allows patients to mix medicine with travel. Turkey is an appealing destination for those seeking bichectomy abroad due to these factors.
In Turkey, qualified plastic surgeons are the one who performs the Bichectomy (removal of buccal fat) procedure successfully. The healthcare system of the country is very good and also does international standard which makes it safe to do it. Although it’s a common procedure, as with any surgical procedure, it does carry some risk of infection, bleeding, nerve injury etc. But these don’t happen too often. Want to get the optimal results, selecting a good clinic and surgeon, following all pre and post-op instructions and having realistic expectations from the result is a must.
Whether you choose to go abroad for a bichectomy procedure or remain domestically, both offer prospective positive results. A study of said procedure revealed that 70% of patients showed very satisfaction while 13.3% were satisfied with the results. After the procedure, most people can return to their normal activities after about a week. Most of the swelling and discomfort will resolve within a few days. Turkey is also very well known for its highly qualified surgeons and modern medical facilities which leads to high patient satisfaction. Due to these reasons, bichectomy abroad will be an attractive option for facial contouring.
If you want to have a bichectomy in Turkey, we recommend you stay for about a week. Surgery is quick; an operation lasts about 15 minutes to an hour. Generally, the operation is done under local anesthesia so that patients can go home on the same day after resting at the hospital for a few hours. After undergoing the operation, you may have mild swelling and some discomfort. Both of these will subside in some days. A soft or liquid diet is often advised during the recovery phase. Although relatively fit to return to work after a few days, it is better to remain in Turkey for about a week to follow up with doctors as well as for a better recuperation before travelling.
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