What is Bichat’s fat bubble
The reduction of the fatty bubble of Bichat is a common cosmetic surgery procedure for reducing cheek fat and thinning of the face silhouette.
Bichat’s fat bubble is found at the cheek level and has the size of a walnut core. This fat deposit is located in the cheek between the nasal wing and the corner of the mouths. The function of the fatty bubble is assistance to sucking for children and for ensuring a sliding plane for mastists muscles. Atrophy of the Fat bubble occurs in HIV patients or in cases of hunger and the hypertrophy of the bubble is normal in young children.
Who is a suitable patient for reducing the fat bubble
Some patients have a very round face due to a large fat bubble. Bichat’s bubble has several locations on the face: At the level of the carpenter, the pterygoid and the cheek. The correct treatment is the reduction of the bubble and does not fully excision. Excessive reduction can cause a face that is not beautiful, especially when a fat atrophy occurs anyway.
The right patient for this procedure is someone with a heavy round face, with heavy cheeks and an abnormal ratio between the cheeks and the rest of the face. It’s usually a hereditary problem. Liposuction of these deep fat deposits is a risky procedure that I do not recommend, the reasons are the increased risk of traumatization of an important structure that is in the vicinity as branches of the facial nerve, the duct of the paratide gland, the vein Facial
How to achieve reduction intervention
The fatty bubble at the cheek level is reduced by an intervention inside the cheek where a small incision is practiced in the mucous membrane after which it penetrates through the inside of the buccinator muscle inside the cheek and immediately behind the muscle The fat is found. The amount of fat is evaluated preoperative, usually the reduction is made conservative never is exbooted the entire amount of fat. The incision is sutured with resorbable wires. Usually the intervention is performed in local anesthesia boosted with sedation.
How long does recovery after intervention last
In general recovery is 3-5 days, certain patients inflate significantly and other less. The final result will be evaluated 3 months after the post operator when the edema has completely withdrawn and the scar is matured. In general the procedure will result in a thinner lateral face of the nasal wing and the corner of the mouths. Usually the procedure lasts 1 hour and can be performed concurrently with other procedures like facial lifting, face liposuction, facial implants.