Complication After Bichectomy Surgery
Keywords:Aesthetics, Buccal, Complication, Fat Pad.
Purpose: The partial buccal lipectomy is presented as a technique to sculpt facial angles and enhance aesthetics. The study aimed to investigate the prevalence of complications following bichectomy. Materials and Methods: Subjects with chubby faces indicated for the correction of facial shape by bilateral bichectomy were studied. Buccal fat pad excision was performed via intraoral upper gingivobuccal sulcus incision opposite the first and second molar teeth, preserving a cuff of mucosa for closure. All subjects were followed up for six months after surgery. The prevalence of complications after the surgery was assessed. Result: One hundred subjects underwent bilateral bichectomy. The age range of subjects was from 25 to 60 years old. Forty subjects were male, and 60 subjects were female. Among 100 bilateral buccal fat pad excision cases, seven patients complained of trismus; two patients had a hematoma. The post-operation infection rate was 2%. Conclusion: According to the study’s findings, the possible complications resulting from the bichectomy consist of trismus, edema, hematoma, and infection. It seems that bichectomy is a safe procedure, and trismus is the most complication after bichectomy.
Zhang HM, Yan YP, Qi KM, Wang JQ, Liu ZF. Anatomical structure of buccal fat pad its clinical adaptations. Plast Reconstr Surg. 2001; 109(7):2509-18. https://doi.org/10.1097/00006534-200206000-00052 PMid:12045584 DOI: https://doi.org/10.1097/00006534-200206000-00052
Tapia A, Ruiz-de-Erenchun R, Rengifo M. Combined approach for facial contour restoration: treatment of malar and cheek areas during rhytidectomy. Plast Reconstr Surg. 2006; 118:491-7. https://doi.org/10.1097/01.prs.0000235265.26138.66 PMid:16874222 DOI: https://doi.org/10.1097/01.prs.0000235265.26138.66
Matarasso. Buccal fat fad excision: Aesthetic improvement of midface. Ann Plast Surg. 1991; 26:413-38. https://doi.org/10.1097/00000637-199105000-00001 PMid:1952712 DOI: https://doi.org/10.1097/00000637-199105000-00001
Dubin B, Jackson IT, Halim A, Triplett WW, Ferreira M. Anatomy of the buccal fat pad and its clinical significance. Plast Reconstr Surg. 1989; 83(2):257-262. https://doi.org/10.1097/00006534-198902000-00009 PMid:2911625 DOI: https://doi.org/10.1097/00006534-198902000-00009
Thomas MK, D’Silva JA, Borole AJ. Facial sculpting: Comprehensive approach for aesthetic correction of round face. Indian J Plast Surg. 2012; 45:122-7. https://doi.org/10.4103/0970-0358.96608 PMid:22754167 PMCid:PMC3385376 DOI: https://doi.org/10.4103/0970-0358.96608
Xu J, Yu Y. A modified surgical method of lower-face recontouring. Aesthetic Plast Surg. 2013; 37:216-21. https://doi.org/10.1007/s00266-013-0080-x PMid:23417575 DOI: https://doi.org/10.1007/s00266-013-0080-x
Matarasso A. Managing the buccal fat pad. Aesthet Surg J. 2006; 26:330-6. https://doi.org/10.1016/j.asj.2006.03.009 PMid:19338917
Jackson IT. Anatomy of buccal fat pad and its clinical significance. Plast Reconstr Surg. 1999; 103:2059-60. https://doi.org/10.1097/00006534-199906000-00042 PMid:10359272 DOI: https://doi.org/10.1097/00006534-199906000-00042
Epstein LI. Buccal lipectomy. Ann Plast Surg. 1980; 5:123-30. https://doi.org/10.1097/00000637-198008000-00006 PMid:7447280 DOI: https://doi.org/10.1097/00000637-198008000-00006
Matarasso A. Managing the buccal fat pad. Aesthet Surg J. 2006; 26:330-336. https://doi.org/10.1016/j.asj.2006.03.009 PMid:19338917 DOI: https://doi.org/10.1016/j.asj.2006.03.009
Kaur M, Farf R, Singla S. Analysis of facial soft tissue changes with aging and their effects on facial morphology: A forensic perspective. Egy J Forensic Sci. 2015; 5:46-56. https://doi.org/10.1016/j.ejfs.2014.07.006 DOI: https://doi.org/10.1016/j.ejfs.2014.07.006
Engdahl R, Nassiri N, Mina B, Drury J, Rosen R. Superselective microcatheter embolization of hemorrhage after buccal lipectomy. Aesthetic Plast Surg. 2012; 36:742–5. DOI: https://doi.org/10.1007/s00266-012-9878-1