Bichectomy is a surgical procedure that aims to remove the Bichat fat pads, which are fat deposits located in the cheeks (cheek space). This procedure is performed to slim the face and improve the definition of the cheeks and mandibular angles.
Bichectomy is performed under local anesthesia. Through small incisions inside the mouth, the fat pads are carefully removed, and the incisions are then sutured. It is an outpatient procedure that does not leave visible scars on the skin.
Recovery may take a few days. You may experience swelling and sensitivity in the cheeks during the first week. Most people can return to their normal activities after a few days, but it may take several weeks for the swelling to completely subside.
Submandibular or submental liposuction, popularly known as double chin liposuction, aims to remove localized fat, known as lipodystrophy, improving the mandibular contour and facial profile.
It is a minimally invasive outpatient aesthetic surgery in which adipose tissue (fat) is removed from the anterior and lateral submandibular areas through a cannula. The entry point is closed with only one stitch.
It is indicated for people who have localized fat accumulation in the area beneath the chin with mild to moderate skin laxity. An appropriate diagnosis is essential, as this procedure does not treat skin laxity, but rather excess fat.
Before the procedure, a proper medical evaluation will be performed to confirm that the patient is suitable for the intervention. An accurate diagnosis is also necessary, as in some patients the excess fullness under the chin may be associated with factors such as mandibular deficiency, chin deficiency, among others. In these cases, additional procedures such as orthognathic surgery or genioplasty may be recommended.
In some patients, the procedure can be combined with fat transfer (lipotransfer), in which the patient’s own fat is used to improve facial contours, such as enhancing the cheekbone area.
When performed alone (without other associated procedures), the procedure is carried out under tumescent local anesthesia, which may be combined with sedation. It has an average duration of approximately 1 hour, and the patient is discharged home on the same day.
If combined with orthognathic surgery or genioplasty: general anesthesia with an average hospital stay of 1 night.
The combination with technologies such as microfocused ultrasound provides better mandibular contour results; therefore, our treatment includes a personalized protocol for each case.
Genioplasty, also known as chin surgery, is an aesthetic procedure aimed at correcting deformities or improving the appearance of the chin. Genioplasty or chin surgery is a quick and simple surgical intervention that provides remarkable aesthetic results for the facial profile. Through a small intraoral incision, the chin bone is accessed, and the surgeon performs the necessary movements to harmonize the patient’s face. This is also known as osseous genioplasty.
Genioplasty is performed for several aesthetic and functional reasons:
Facial Disproportion: A chin that is too small (recessed) or too large can create facial imbalance. Genioplasty helps create a more harmonious and balanced facial profile.
Self-Esteem and Confidence: Many people choose genioplasty to improve their appearance and, consequently, increase their self-esteem and confidence.
Correction of Deformities: Some people are born with chin deformities or develop these conditions due to trauma or other circumstances.
During the consultation, the doctor will evaluate your expectations, examine your chin and face, and discuss the treatment options. X-rays or computed tomography scans may be required to plan the procedure.
Genioplasty is performed under local anesthesia with sedation or general anesthesia, depending on the complexity of the procedure and the patient’s preference.
The surgeon makes an incision inside the mouth to access the chin bone. The procedure takes less than one hour.
After surgery, the patient may experience swelling, bruising, and discomfort, which can be managed with medication. It is important to follow all the surgeon’s instructions for a safe and effective recovery.
The results of genioplasty are generally visible immediately after surgery, but it may take a few months for the swelling to completely subside and for the final result to be appreciated. Genioplasty offers an effective and definitive solution for those who wish to improve the appearance of the chin and achieve a more harmonious facial contour. If you are considering genioplasty, consult a qualified plastic surgeon to discuss your options and expectations.
Genioplasty is a safe and effective procedure that can significantly transform facial contours, bringing balance and harmony to facial features. As with any surgical procedure, it is essential that it is performed by an experienced and qualified professional to ensure the best results and minimize risks.
I performed a genioplasty as an aesthetic refinement because the patient had a very straight hard chin morphology that, even after the counterclockwise rotation induced by occlusal plane correction, still required greater chin projection.
Notice that the reduction in facial height promoted better positioning of the soft tissues, improving the facial appearance. Maxillary correction using miniplates also allows us to treat the case without any side effects on the shape of the nose.
Definitive facial harmonization with facial implants is an advanced and effective approach to permanently improve facial symmetry, contours, and proportions. Unlike temporary fillers, facial implants provide a long-lasting solution to enhance natural beauty and correct aesthetic imperfections.
This procedure involves placing permanent implants in specific areas of the face, such as the jawline, cheekbones, and chin, to improve facial structure and achieve a harmonious aesthetic balance. The implants are made from biocompatible materials, such as polyethylene or PMMA, which are safe and well tolerated by the body. They are fully customized and individualized according to each patient’s anatomy using CT scans, allowing for a perfect fit.
Long-Lasting Results: Unlike temporary fillers, facial implants provide permanent results.
Improved Facial Symmetry: They correct disproportion and asymmetries, creating a more balanced and attractive face.
Defined Contours: They enhance facial contours, providing a younger and more sculpted appearance.
Increased Self-Esteem: Enhancing facial appearance can significantly improve confidence and self-esteem.
People who desire permanent improvements in facial structure, such as:
During the consultation, the doctor will evaluate your facial features, discuss your expectations, and determine the areas that will benefit from the implants.
The surgeon will plan a personalized procedure to meet your specific needs and aesthetic goals.
The surgery is usually performed under local anesthesia with sedation. In some cases, depending on the extent of the surgery, it can be performed under general anesthesia. Small intraoral incisions (inside the mouth) are made to insert the implants, which are carefully positioned to improve facial structure, ensuring that NO visible facial scars are produced.
The recovery time varies, but it generally involves a few days of rest and specific care to minimize swelling and accelerate healing.
To ensure a smooth recovery and the best results, follow these postoperative guidelines:
Hygiene: Keep the operated area clean and dry.
Medication: Follow your doctor’s instructions regarding pain medication and antibiotics.
Activities: Avoid intense physical activities and sun exposure until authorized by your doctor.
Follow-up: Attend all follow-up appointments to monitor your recovery.
The results are visible immediately after surgery, although the initial swelling may mask the final appearance. Full results are usually seen after a few weeks, providing a more defined and balanced facial contour. Facial implants offer a permanent solution, eliminating the need for repeated procedures.
Although facial harmonization with facial implants is a safe procedure, some risks may occur, including:
Infection
Bruising
Adverse reactions to implants
Asymmetry
Need for implant adjustments or removal
Definitive facial harmonization with facial implants is an effective and long-lasting solution for those who wish to improve facial symmetry and contours. This procedure can transform facial appearance, providing permanent results and increasing confidence. If you are considering this option, consult an experienced plastic surgeon to discuss your needs and aesthetic expectations.
For more information or to schedule a consultation, contact our office. We are here to help you achieve your beauty goals with safety and excellence.
