Bichectomy: What it is and how it can sculpt your face in Brasília

Have you ever looked in the mirror and wished for a face with more defined contours? Perhaps your cheeks appear a bit too full, even though you are at your ideal weight, giving your profile a more rounded appearance. If this is a concern for you, then you need to learn about bichectomy.

At Rita Trindade | Medical Dental SPA in Brasília, we believe that beauty lies in harmony and proportion. That’s why we are dedicated to offering procedures that, like bichectomy, enhance your natural beauty by sculpting the face and promoting a more balanced facial aesthetic.

But after all, what is bichectomy? Is it a safe procedure? Who can undergo it? And most importantly, how does it truly impact facial aesthetics? Get ready to uncover all the secrets of this procedure that has transformed smiles and profiles.

Understanding Bichectomy: What Are the Bichat Fat Pads?

Before diving into the details of the procedure, it’s essential to understand what bichectomy—also known as facial lipectomy or cheek reduction surgery—actually addresses. The focus of this surgery is the Bichat fat pads.

Beyond Common Fat: The Anatomy of the Cheek

When we talk about “fat in the cheeks,” many people immediately associate it with weight gain. However, the Bichat fat pads are quite different from the subcutaneous fat that accumulates in other parts of the body.

The Bichat fat pads are encapsulated fat structures located deep within the cheeks, between the chewing muscles (the buccinator and the masseter). They are present in everyone from birth and play an important role in breastfeeding during infancy by aiding suction. As we grow, their function diminishes, but their volume remains.

The size of the Bichat fat pads is genetically determined and does not significantly change with weight fluctuations. This means that even slim individuals may have a fuller or rounder facial appearance if these fat pads are voluminous, with less definition in the cheekbones and jawline. This is precisely what bichectomy aims to correct.

The Goal of Bichectomy: More Definition and Facial Harmony

The main objective of bichectomy is not to drastically slim the face, but rather to sculpt and harmonize facial contours. For individuals with excess volume in the Bichat fat pads, the procedure aims to:

• Slim the face: Reduce cheek volume for a more slender and elegant appearance.

• Enhance cheekbones: Create a natural shadow effect in the cheek area, highlighting the cheekbones and giving a more “sculpted” look.

• Define the jawline: By reducing volume in the central cheek area, the jawline becomes more visible, contributing to a sharper and more angular profile.

In short, bichectomy is an aesthetic procedure designed to achieve greater facial symmetry and proportion, resulting in a more defined and attractive profile.

Transforming Contours: The Impact of Bichectomy on Facial Aesthetics

The results of bichectomy are subtle yet significant for facial harmony. The aesthetic impact is seen in how light and shadow interact with the face, creating a perception of greater sculpting and refinement.

Goodbye Round Face: How Bichectomy Slims the Profile

For many people with what is commonly called a “moon face” or “chubby cheeks,” bichectomy offers an effective solution. By removing part of the Bichat fat pad volume, the central cheek area is reduced, creating a tapering effect toward the chin. This visual effect elongates the face and makes it appear noticeably slimmer.

The result is a more triangular or oval profile, as opposed to the previously rounder shape. This slimming effect conveys a more sophisticated and, for many, more mature appearance.

Enhancing Your Cheekbones and Jawline: The Sculpted Effect

One of the most desired aesthetic outcomes of bichectomy is enhanced cheekbones. With reduced volume in the lower cheek area, the zygomatic region becomes more prominent. This creates a natural contouring effect, as if you were always wearing a light blush or subtle makeup contour.

In addition, the procedure helps define the jawline. When cheeks are very full, they can hide jaw definition. With bichectomy, the jawline becomes sharper, contributing to a more angular and well-defined face—an attribute highly valued in contemporary facial aesthetics.

Natural and Long-Lasting Results: What to Expect After the Procedure

It is crucial to understand that bichectomy aims for natural results. The goal is not to create an excessively hollow face, but rather to enhance the patient’s existing features. An experienced professional, such as those at Rita Trindade, will remove the ideal amount of fat to achieve a harmonious result that integrates perfectly with your facial structure.

The results of bichectomy are considered permanent because the Bichat fat pads do not regenerate once removed. However, the natural aging process and significant weight changes can influence overall facial appearance over time. Even so, the slimming and defining effect provided by the surgery remains.

The Bichectomy Procedure at Rita Trindade: Simplicity and Safety

Bichectomy is considered a minimally invasive surgery, but like any surgical procedure, it requires precision, expertise, and a safe environment. At Rita Trindade | Medical Dental SPA, we ensure that every step is performed with the highest standard of care.

Personalized Evaluation: The First Step Toward a Harmonious Face

Before any intervention, a detailed and personalized evaluation is essential. During your first consultation at Rita Trindade, our facial harmonization specialists will carefully analyze your facial structure, assessing the volume of the Bichat fat pads, facial symmetry, and your aesthetic expectations.

At this time, you can ask all your questions and understand whether bichectomy is truly the most suitable procedure for your goals. Preoperative exams will also be requested to ensure you are fit for surgery and that the procedure is performed with complete safety. Transparency about achievable results is key to your satisfaction.

Step by Step: How Cheek Surgery Is Performed

The bichectomy procedure is relatively quick, usually lasting between 30 minutes and 1 hour:

• Anesthesia: The surgery is performed under local anesthesia, meaning you will be awake but will not feel pain. In some cases, light sedation may be used for greater comfort.

• Intraoral Incision: A small incision (about 1–2 cm) is made inside the mouth, in the cheek mucosa. The major advantage is that there are no visible external scars.

• Removal of the Bichat Fat Pads: Through the incision, the surgeon carefully locates and removes a portion of the fat pad. The amount removed is individualized, aiming for symmetry and facial harmony—never complete removal, to avoid an aged or hollow appearance.

• Sutures: The incision is closed with absorbable stitches that dissolve on their own within days or weeks.

Anesthesia and Immediate Postoperative Care

Because the procedure is done under local anesthesia, you can go home the same day. Immediate discomfort is usually mild and comparable to wisdom tooth extraction.

In the first few days, it is normal to experience:

• Swelling (peaking within 48–72 hours)

• Mild pain or discomfort, controlled with prescribed medication

• Occasional bruising

Postoperative follow-up is essential, and our team at Rita Trindade will guide you throughout recovery.

Recovery and Care: Ensure the Best Results from Your Bichectomy

Recovery is just as important as the procedure itself. Following professional guidelines is crucial.

The First Weeks: Diet, Hygiene, and Rest

• Rest: Avoid intense physical activity for 7–10 days.

• Cold Compresses: Apply cold packs externally for the first 2–3 days to reduce swelling.

• Diet: Opt for liquid or soft, cold or lukewarm foods initially. Avoid hard, hot, acidic, or spicy foods.

• Oral Hygiene: Maintain excellent oral hygiene. Use prescribed mouthwash and brush gently.

• Sleep with Head Elevated: Helps reduce swelling.

• Avoid Sun and Heat: Prevents increased swelling and bruising.

• Medication: Take prescribed medications as directed.

When Do Final Results Appear?

Swelling subsides significantly within 1–3 weeks, but final results can take 3 to 6 months to fully appear as tissues settle. Patience is essential—over time, the face becomes increasingly defined and harmonious.

Myths and Truths About Bichectomy

Myth: Does bichectomy age the face over time?
Truth: When performed conservatively by a qualified professional, it does not cause premature aging. Excessive removal is the real risk.

Truth: Is it a safe procedure when well indicated?
Yes, when performed by a trained professional in an appropriate setting.

Myth: Are the results artificial?
No. When well executed, results are natural and subtle.

Myth: Does bichectomy help with weight loss in the face?
No. It targets a specific fat pad unrelated to overall body weight.

Truth: Can people with thin faces undergo it?
Generally no. Thin faces are usually not good candidates due to the risk of an overly hollow appearance.

Bichectomy in Brasília: Why Choose Rita Trindade | Medical Dental SPA?

Choosing the right clinic and professionals is essential. In the heart of Brasília, Rita Trindade | Medical Dental SPA is a reference in facial harmonization and aesthetic dentistry.

Expertise and Safety

Our multidisciplinary team is highly qualified and constantly updated on the safest and most modern techniques. We prioritize conservative, personalized treatments for natural results.

Humanized Care and Premium Environment

More than a clinic, we offer a SPA experience:

• Comfort and modern facilities

• Cutting-edge technology

• A calm, wellness-focused atmosphere

Testimonials and Success Stories

“I always had a very round face, and the bichectomy at Rita Trindade subtly and naturally changed my profile. I loved the result and the impeccable care!” – Maria P., Brasília

“The environment is wonderful, and the team made me feel completely safe. My cheeks are slimmer and my face more defined—exactly what I wanted.” – Carlos R., Brasília

Transform Your Smile and Your Face Safely in Brasília!

If you dream of a more defined face, prominent cheekbones, and a harmonious profile, bichectomy may be the solution.

Schedule your evaluation at Rita Trindade | Medical Dental SPA.
Our specialists are ready to assess your case and guide you toward the aesthetic results you desire.

 WhatsApp: (61) 99609-7561
 Address: SHIS QI 7, Block D, Store 12 – Lago Sul, Brasília – DF