American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Should I do a bichectomy

I can’t stand my large bottom face, do you think a bichectomy could help to refine my face ?

Procedure: Cheek Reduction
Location: Paris, CA - France

Replies 4

Steven Wallach
ASPS Surgeon
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Buccal fat pad excision is certainly an option if you have done lower cheek fullness. It is best to be seen in person to be evaluated. Properly.

Joseph Kelamis
ASPS Surgeon

Bichectomy is a fairly straight-forward procedure to narrow the mid to lower face profile.

However, part of the widened facial profile may be due excess bigonial width, deficient bizygomatic width, or both. In other words, you may not need a bichectomy. You may benefit from upper cheek implants, reduction of your "mandible width" via masseter reduction or even ramus shave (which I absolutely do not recommend), or possibly even orthognathic surgery. My point is that you likely have options, and some of the other options may better serve your needs. Definitely meet with a board certified plastic surgeon. Make sure he or she discusses these components. You need to determine what parts, if any, are disproportionate in profile. Best of luck!

Nelson Castillo

Thank you for sharing your excellent question. This is a good option for many patients with mid to lower face fullness, but the decision would require a discussion of your goal results as well as confirmation during an in-person examination.

Tania Medina
ASPS Int. Surgeon

Hello dear and thank you for your question. A bichectomy it's a great procedure for people with fullness on the cheeks. However it's very important that you get a consultation with a board certified plastic surgeon to have an evaluation on your particular case.


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