How is Bichectomy performed?
When a face looks very wide or round, this may be due to accumulation of fat on the cheeks. The Bichat fat bag is an accumulation of fat positioned between the masseter muscle and the buccinator muscle on both sides of the face. These two muscles that allow the chewing movements need a lubricating fat pad that is the Bichat bag. Although all people have them, in some cases these fatty cushions develop exaggerated resulting in a face too round and bulky.
It is then necessary to make a thinning by reducing the Bichat bags.
The volume of this fat is not necessarily related to the body weight, and that is why many thin people may have an extended, thick face that does not correspond to their body weight.
The facial thinning by resection of the Bichat bags reduces the volume of the cheeks giving an aspect of greater character, freshness and naturalness.