Anatomically, the Bichat fat pad is a structure consisting of fatty tissue extending from under the cheekbone to the middle part of the cheek. It is very visible in babies and atrophy with age. Sometimes, in some people, it does not shrink enough and the face may appear fat and round even though the person is not overweight. In this case, it may be useful to partially or completely remove the bichat fat pad to reduce this overweight appearance on the cheeks.
Prior to the procedure, just like in other surgeries, general medical inquiry is made and after the necessary precautions are taken, if the patient is suitable for surgery, surgical preparations are made. The intervention is performed under completely sterile conditions and under general or local anesthesia in the operating room. It can be combined with other surgeries (nose, chin tip, eyelid etc.). It can also be combined with zygomatic filler, masseter muscle botox, and filler application to the chin edge and tip of the chin to give the face a more triangular and pleasant appearance.
It is performed with an incision of approximately 1 cm inside the mouth and takes approximately 15 minutes. Since no incision is made on the skin, it does not cause any scars. It does not require hospitalization, patients are discharged a few hours after the end of the surgery and can return to daily life the next day. Serious pain is not expected after the surgery.
Necessary antibiotics, painkillers and mouthwashes are used after the surgery. Liquid and soft food is recommended for the first three days. Edema, which increases in the first three days, subsides in 7-10 days. The shrinking effect of the procedure on the cheeks appears completely within 3-6 months.
BBL (BRAZILIAN BUTT LIFT, 360 BODY SHAPING, 360 BODY SCULPTURE)
It basically consists of a combination of two procedures.
>Aggressive liposuction
Fat injection
Before the surgery, just as in other surgeries, detailed medical history examination of the patients and detailed body evaluation is performed. Surgery is not recommended for those who have any disability in their medical history or evaluation. Then, the necessary pre-operative tests are performed and if there are no problems in these tests, other safety measures (anesthesia consultation, anti-embolism stockings, prophylactic antibiotics, anti-embolism drugs, etc.) are taken. After the necessary drawings and photographs are made, the patient undergoes surgery. is taken to . The surgery is performed in a fully equipped hospital and under general anesthesia.
The first stage of the surgery is aggressive liposuction. Tumescent solution is administered through small holes to the patient's excess fatty tissues, and then aggressive liposuction is performed. Liposuction is performed on the entire body and, if necessary, on other parts of the body (arms, chin, thighs, hips, etc.). In the back, the waist dimple (Venus dimple) in the waist area, and in the abdomen, the definition of the abdominal muscles (two pack) are highlighted.
In the second stage, the fat is purified to eliminate the deformity and flattening on the butt and sides and to create a more rounded hourglass-shaped body. It is the injection of tissue into the buttock. The resulting fat graft is injected in the required amount into the fatty tissue between the skin and muscle fascia, and the existing deformity and deficiencies are tried to be eliminated. In this way, the butt becomes more rounded and looks more natural.
Important note: Serious complications after fat injection are seen at a much higher rate in cases where intramuscular and/or very high amounts of fat are injected. Therefore, for maximum patient safety, intramuscular injections and very large amounts of fat injections should be avoided.
A few hours after the surgery, the patient is mobilized and stays in the hospital for one night. The next day, he is checked and discharged with a prescription. All drains are removed within 2-3 days. You can take a bath after the drains are removed. Some special drainage massages are recommended to be applied during bathing. Severe pain is not expected after the surgery, the existing pain will decrease significantly within a few days, and patients are supported with strong painkillers during this time. Return to work after a week. In the early period (first two months), the area where fat injection is applied should be protected from stress and pressure, and the use of a corset for approximately one month is recommended.
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