Complication After Bichectomy Surgery

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.