| Procedure | Full cheeks can be reduced by removal of buccal fat (=bichectomy). This is often performed in younger patient from inside the cheek and can also be done as part of a facelift. The surgery involves a cut in the inner cheek opposite the second upper molar tooth through which the fat is removed. The wounds are repaired with dissolvable sutures which don’t require removal. Soft food and mouth wash are advisable for one week. |
|---|---|
| Scars | 1cm inside the upper cheek |
| Operation time | 1.5 hours |
| Anaesthesia | General or Local |
| Hospital Stay | Day Surgery |
| Benefits | Cosmetic, Psychological |
| Risks | Bleeding, Infection, Scar problems (thick, retracted etc.), Skin discoloration, Wound separation, Slough, Pain, Nerve injury (Numbness, weakness, paralysis), Injury to parotid (=salivary) duct, Bruising, Swelling, Overcorrection (hollowness), Undercorrection, Asymmetry, Cosmetic imperfections, Seroma, Problems with jaw movement, Functional problems, Contour irregularities, Need for further surgery, Allergic reaction |
| (General Anaesthetic: Chest infection, Heart attack, Stroke, Blood clots in legs & lungs) | |
| N.B. Most complications are unlikely and serious risks are rare | |
| Risk factors | Smoking within 6 weeks of surgery, overweight, high blood pressure, bleeding tendency, diabetes |
| (General Anaesthetic: Contraception / flights within 6 weeks of surgery) | |
| Optimising factors | Diet rich in Vitamin C and protein, plenty of fluids, fresh air, scar massage |
| Discomfort | 1 – 2 weeks |
| Bruising | 2 – 3 weeks |
| Recovery | Light activities and driving 3 – 7 days, Physical work & sports 4 weeks |
| Acceptable appearance | 2 – 4 weeks for most patients (This is subjective) |
| Final result | 6 – 18 months |
| Alternatives | No Surgery, Make–up, Weight loss, Lipolysis, Liposuction |
Anstey Hall
Maris Lane
Cambridge
CB2 9LN
