Aesthetic surgical procedures

bichectomy

Bichectomy is a surgical procedure that aims to remove the Bichat bags, which are fat deposits in the cheeks.
This procedure is performed to slim the face and improve the definition of the cheeks and the angles of the jaw.

Bichectomy is performed under local anesthesia.
Through small incisions in the mouth, the fat pockets are carefully removed and then the incisions are sutured.
It is an outpatient procedure that leaves no visible scars on the skin.

Who is a candidate for bichectomy?

Recovery

Recovery may take a few days.
You may feel swelling and tenderness in your cheeks during the first week.
Most people are able to return to normal activities after a few days, but it can take several weeks for the swelling to disappear completely.

Post-operative care

Submandibular liposuction and lipotransfer

Submandibular or submentonian liposuction is popularly known as jowl liposuction.
Its aim is to remove localized fat, known as lipodystrophy, leading to an improvement in the mandibular contour and facial profile.

This is a minimally invasive outpatient cosmetic surgery in which adipose tissue (fat) is aspirated from the anterior and lateral submandibular areas via a cannula.
The entry point is closed with just one stitch.

It is indicated for people who have an accumulation of fat located in the area under the chin with little or moderate skin laxity.
A proper diagnosis must be made as this procedure does not treat sagging skin but excess fat.

Before the procedure, it will be necessary to carry out a proper anamnesis confirming that the patient is suitable for the intervention.
A precise diagnosis of the case is also necessary, as in some patients excess jowls may be associated with: mandibular deficiencies, chin deficiencies, etc. Other auxiliary procedures such as orthognathic surgery or chin augmentation may be recommended.

In some patients it can be combined with the Lipograft procedure, through which we will use the fat to improve the facial contour, for example: augmentation of the cheekbone area.

When done alone (without other associated procedures), the procedure is performed under tumescent local anesthesia and can be associated with sedation.
It takes an average of 1 hour and the patient is discharged home the same day.

If associated with orthognathic surgery or chin augmentation: general anesthesia + average hospital stay of 1 night.

With liposuction we'll succeed:

Post-operative care

The combination of technologies such as microfocused ultrasound brings better jaw contouring results, which is why our treatment includes a personalized protocol for each case.

Mentoplasty

Mentoplasty, also known as chin surgery, is an aesthetic procedure that aims to correct deformities or improve the appearance of the chin.
Mentoplasty or chin surgery is a quick and simple surgical intervention that offers incredible aesthetic results in the facial profile.
Through a small intraoral incision, the chin bone is approached and the surgeon makes the necessary movements to harmonize the patient’s face.
This is also called bone genioplasty.

Ways to carry out this procedure:

Why opt for Mentoplasty?

Mentoplasty is performed for various aesthetic and functional reasons:

1. Facial disproportion: A chin that is too small (retracted) or too large can disproportionate the face.
Mentoplasty helps to create a more balanced facial profile.
2. Self-esteem and Confidence: Many people opt for mentoplasty to improve their appearance and, consequently, increase their self-esteem and confidence.
3. Correction of Deformities: Some people are born with chin deformities or develop these conditions due to trauma or other circumstances.

The surgical procedure

Post-operative care

Results and Final Considerations

The results of chin augmentation are usually visible immediately after surgery, but it can take a few months for the swelling to completely subside and the final result to be appreciated.
Mentoplasty 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 mentoplasty, consult a qualified plastic surgeon to discuss your options and expectations.

Mentoplasty is a safe and effective procedure that can significantly transform the contour of the face, 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 guarantee the best results and minimize risks.

CLINICAL CASE

I carried out a mentoplasty as an aesthetic refinement because the patient had a very straight hard chin morphology which, even after the anti-clockwise rotation induced by the correction of the occlusal plane, still required greater chin projection.
Note that the reduction in facial height promoted better positioning of the soft tissues, improving facial appearance.
The correction of the maxilla via a miniplate also allowed us to treat the case without any side effects on the shape of the nose.

Definitive facial harmonization

Permanent facial harmonization with facial implants is an advanced and effective approach to permanently improving the symmetry, contours and proportions of the face.
Unlike temporary fillers, facial implants offer a long-lasting solution for enhancing natural beauty and correcting aesthetic imperfections.

What is Definitive Facial Harmonization with Facial Implants?

This procedure involves placing permanent implants in specific areas of the face, such as the jaw, 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 made in a totally customized way, individualized to each patient’s anatomy with the use of tomographic scans, so they have a perfect fit.

Benefits of Facial Implants

1. Lasting Results: Unlike temporary fillers, facial implants provide permanent results.
2.Improved Facial Symmetry: Corrects disproportions and asymmetries, creating a more balanced and attractive face.
3.Defined Contours: Improves facialcontours, providing a more youthful and sculpted appearance.
4.Increased Self-Esteem: Enhancing facial appearance can significantly increase confidence and self-esteem.

Who Can Benefit from Facial Harmonization with Implants?

People who want permanent improvements to their facial structure, such as:

The procedure

Post-operative care

To ensure a smooth recovery and the best results, follow these post-operative guidelines:

Hygiene: Keep the operated area clean and dry.
Medication: Follow your doctor’s instructions on pain medication and antibiotics.
Activities: Avoid intense physical activity and exposure to the sun until your doctor has given the go-ahead.
Follow-up: Attend all follow-up appointments to monitor your recovery.

Results and expectations

Results are visible immediately after surgery, although initial swelling can 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 repeat procedures.

Possible Risks and Complications

Although facial harmonization with facial implants is safe, there may be some risks, including:

– Infection
– Hematomas
– Adverse reactions to implants
– Asymmetry
– Need for adjustments or implant removal

Definitive facial harmonization with facial implants is an effective and long-lasting solution for those who want to improve the symmetry and contours of their face.
This procedure can transform facial appearance, providing permanent results and boosting confidence.
If you are considering this option, consult an experienced plastic surgeon to discuss your aesthetic needs and expectations.

For more information or to schedule an appointment, please contact our office.
We are here to help you achieve your beauty goals with safety and excellence.