{"id":8309,"date":"2026-04-09T15:46:48","date_gmt":"2026-04-09T13:46:48","guid":{"rendered":"https:\/\/docteurvairinho.fr\/?page_id=8309"},"modified":"2026-05-26T14:43:45","modified_gmt":"2026-05-26T12:43:45","slug":"bichectomie-paris","status":"publish","type":"page","link":"https:\/\/docteurvairinho.fr\/en\/chirurgie-du-visage\/bichectomie-paris\/","title":{"rendered":"Bichectomy"},"content":{"rendered":"
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Bichectomy<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Bichat Pouch Removal - \nSlimming the face and redefining the contours of the cheeks<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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La bichectomie, ou r\u00e9duction des boules de Bichat, est une intervention qui peut affiner le bas du visage chez certains patients pr\u00e9sentant des joues durablement rondes ou peu d\u00e9finies. Elle ne convient pas \u00e0 tous les visages. Mon r\u00f4le, en consultation, est d\u2019\u00e9valuer pr\u00e9cis\u00e9ment votre morphologie, l\u2019\u00e9paisseur des tissus, l\u2019\u00e9quilibre entre les joues, les pommettes et la m\u00e2choire, ainsi que l\u2019\u00e9volution pr\u00e9visible de votre visage avec le temps.\n\nL\u2019objectif n\u2019est pas de creuser les joues de mani\u00e8re excessive, mais de rechercher un r\u00e9sultat discret, harmonieux et durable. Une indication bien pos\u00e9e est essentielle, car retirer trop de volume sur un visage fin ou chez un patient qui perdra naturellement de la graisse avec l\u2019\u00e2ge peut conduire \u00e0 un aspect trop creus\u00e9. La d\u00e9cision op\u00e9ratoire doit donc toujours \u00eatre personnalis\u00e9e.<\/div>\n\t\t\t\n\t\t\t\t\t\t
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Dr Alexandre Vairinho<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Overview<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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A buccal fat pad reduction is a cosmetic facial surgery procedure that involves reducing the volume of the buccal fat pads, small deep fat deposits located within the cheek tissue. The goal of this reduction is to slim down the middle and lower thirds of the face, enhance the cheekbones, and create a slightly more defined facial contour.<\/p>

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This procedure is primarily intended for patients with a naturally round face, full cheeks despite a stable weight, and a realistic desire for a slimmer appearance. However, it is not always suitable for patients with naturally slender faces, older patients, or those whose faces are likely to become gaunt over time. Weight, age, skin quality, and bone structure must therefore be taken into account before selecting this procedure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Explanation of the technique<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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The procedure involves accessing the Bichat fat pads through the inside of the mouth via a small incision made in the cheek mucosa. The surgeon then carefully exposes the deep fat and removes only a portion of it. In practice, the goal is not to remove all the fat, but to perform a measured reduction to preserve the face\u2019s natural appearance. This caution is important because the surrounding structures must be preserved, particularly the Stenon duct and the facial nerve branches.<\/p>

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A buccal fat pad excision differs from cheek liposuction: in this procedure, the surgeon works on a deep fat compartment that is clearly defined anatomically, rather than on superficial fat removed with a cannula. The procedure therefore requires precision and restraint.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Overview of the procedure<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Before the procedure, a consultation is held to confirm the need for the procedure, assess the face as a whole, and explain the limitations of the procedure. It is important to disclose any current treatments, medical history, and smoking habits, as smoking can increase the risk of complications and affect the quality of the results.<\/p>

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A buccal fat pad removal is often performed under local anesthesia when done as a standalone procedure; depending on the case, it may also be performed under general anesthesia, particularly if it is combined with another procedure. When performed on its own, it is frequently done on an outpatient basis.<\/p>

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During the procedure, a small incision is made inside each cheek. A portion of the Bichat fat pad is carefully removed, and the mucous membrane is closed with dissolvable sutures. Since no incision is made in the skin, there is no visible scar on the face.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Postoperative Care and Expected Results <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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After the procedure, swelling and occasional bruising are common. Discomfort inside the mouth may persist for a few days, and it is often more comfortable to stick to soft foods at first. You may experience moderate pain, which can usually be relieved with over-the-counter pain relievers. It is often best to take a few days off from work or reduce your activity level.<\/p>

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The results are not immediate, as swelling initially masks the slimming effect achieved. The face gradually takes on a new shape over the course of several weeks. The goal is a face that is slightly less round, with more defined cheekbones and jawline, without excessive alteration. The result should remain natural; the goal is not to change one\u2019s facial identity, but to improve certain contours when indicated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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FAQ<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Frequently Asked Questions About Bichectomy<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tWho is this surgery intended for?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

It is primarily intended for healthy adults with a relatively stable weight, naturally full cheeks, and realistic expectations. People with naturally thin faces are less suitable candidates.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tAt what age can a buccal fat pad removal be considered?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

In practice, it is generally best to wait until the face has fully developed; some experts recommend waiting until around age 18 to 20.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tIs there a visible scar?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

No, the incision is usually made inside the mouth.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tDoes buccal fat removal always produce good results?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

No. The outcome depends on the patient\u2019s initial facial structure, the quality of the tissue, age, and the amount of tissue removed. If the procedure is not appropriate for the patient, it can result in a face that appears too sunken, especially as the patient ages.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\tAre there any risks?<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t

Like any surgical procedure, buccal fat removal carries risks, although they are rare: bleeding, infection, asymmetry, results that are either insufficient or too pronounced, and, more rarely, damage to nearby structures.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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>> This page is intended to provide general information. Only a consultation with Dr. Vairinho will allow for an accurate assessment of your situation and the recommendation of an appropriate treatment plan. A personalized quote is provided only during a consultation. <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

Ablation des boules de Bichat – Affiner le visage et redessiner les contours des joues Prendre RDV La bichectomie, ou r\u00e9duction des boules de Bichat, est une intervention qui peut\u2026<\/p>","protected":false},"author":2,"featured_media":0,"parent":1010,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"ocean_post_layout":"full-screen","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"0","ocean_second_sidebar":"0","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"on","ocean_display_header":"on","ocean_header_style":"","ocean_center_header_left_menu":"0","ocean_custom_header_template":"0","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"0","ocean_menu_typo_font_family":"0","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"on","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"off","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"0","footnotes":""},"class_list":["post-8309","page","type-page","status-publish","hentry","entry"],"yoast_head":"\nBichectomie - 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