Bichat Bag, Bichat Ball, Bichat Bag, o buccal fat pad, are sinonimous.

In 1802 the French anatomist Marie F. Xavier Bichat demonstrated that it was a bag composed of fat and not a gland as was previously believed. In human anatomy, Bichat’s bags, constitute fat bags encapsulated, lying in the region of the cheek, one on each side; Each of them has a volume of about 4 cc and a weight of 3.9 grams. Despite its small size, Bichat bags contribute to fullness appearance of the cheeks especially in our childhood, but in adult life and with the development of the rest of the structures of the face, its size is proportionately smaller over the full face size. Sometimes some doctors confuse this Bichat bag with the malar fat bag which is also located in the cheekbone area but is located more superficially, just below the skin

The Bichat bag is located between the masseter and buccinator muscles. The aspect of great importance is that it is very close to the zygomatic and buccal branches of the facial nerve and the duct of Stenon, where it empties its saliva towards the mouth, from the Parotid gland.

Bichectomy  Or Buccal Fat Pad Removal

This surgery consists of the removal of the Bichat bags (bichectomy) in order to achieve a face rejuvenation effect. Bichectomy is a simple procedure most of the time, in the hands experienced surgeons, and can be performed under local anesthesia. The incision can be made through the interior of the oral cavity in order that there is no visible scar. In aesthetic surgery it is practiced with the purpose of refining the cheeks and accentuating the cheekbones, especially in people with rounded or oval faces.

Among the possible complications of the procedure, facial nerve palsy may occur; Accidental section of the Stenon’s Duct and facial asymmetry after surgery.

Below are some important pointers for “before and after” buccal Fat Pad removal:


1. Do not take aspirin or aspirin products for 2 to 3 weeks prior to surgery. (Click Non Recommended Medicines for more information.)
2.  For three consecutive nights before surgery wash the entire face, including your ears, with Isodine foam (Betadine in the US) shampoo. Your pharmacist may suggest an alternative product if you are unable to find it.
4. Do not eat  food for 8 hours before your operation.
5. For your own convenience, bring loose comfortable clothes with zippers or buttons.
6.  If you get cold, sore throat inside the mouth before the surgery, call the office.

7. Schedule a Professional Dental Cleaning with your dentist, a few days before operation.

8. Since 2 days before, start using dental floss twice a day, and do some Mouthwashes at least twice a day, using a good antiseptic mouth wash.


1. Go directly home and remain at rest for 24 to 48 hours. Rest / sleep on your back not on your side. Do not use pillows during the first week.
2. You may get up to use the toilet and for meals only during this period.
3. The first day at home you should take sips of fluids, gradually increasing to a soft diet. If you do not have nausea, you can eat normally Do not eat hot liquids or food. It could be too harmful. You could enjoy instead iced water or liquids to help maintain uninflamed your mouth.
4. Avoid the sun, hot meals, hot baths and hot environment for a week. Sunbathing may cause blotching of the skin.
5. The first follow-up visit will be on the sixth day after surgery .Any stitches will be removed at that time.
7. You may bathe every day in tepid water. Avoid extreme water temperatures as they could cause tissue damage.
8. You may resume all normal activities, including sports, one month after surgery.

To view some cases of this surgery click Photo Gallery

Any questions before and after your surgery may be answered in person by calling the office, 684-2551  (US: 619-730-1917) or my cell 664-283-0976 or click Contac Us for more information.

I wish you an excellent experience in Plastic Surgery and a speedy recovery.

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