Bichectomy and its contribution to facial harmony

Faria, Cesar Augusto Daher Ceva; Dias, Ronan Caputi Silva; Campos, Ana Cláudia; Daher, José Carlos; Costa, Rafael Sabino Caetano; Barcelos, Leonardo David Pires

doi:10.5935/2177-1235.2018rbcp0164

Cited by 5 publications

(12 citation statements)

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“…Additionally, although bichectomy is a safe surgery without major post-surgical complications and a good prognosis, correct patient evaluation before surgery is essential for accurate diagnoses and avoiding unrealistic patient expectations. For example, according to Faría et al 3 there is still doubt about recommending the surgery in cases of asymmetry between the Bichat fat pads because there is a risk of asymmetry in the postoperative period. Furthermore, when the fat pad volume is small, the surgeon must discuss the subtle outcomes with the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Large adipose pouches can cause occlusal interference by forcing the internal face of the cheek in the occlusion, generating ulcerations or hyperkeratosis of the mucosa called "morsicatio buccarum". 3 Health-related quality of life (HRQOL) is defined as "those aspects of self-perceived well-being that are related to or affected by the presence of a disease or treatment. 4 Oral health-related quality of life reflects people's comfort in eating, sleeping, participating in social interaction, self-esteem, and satisfaction with their oral health.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Chilean Patients’ Perception of Their Oral Health-Related Quality of Life After Bichectomy

F¹,

Nunez²,

Gutiérrrez³

et al. 2022

PPA

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To describe the quality of life associated with oral health in patients who have had bichectomy surgery in Chile using the Spanish version of the health-Related Quality of Life instrument (HRQOL-sp). Material and Methods: We designed a cross-sectional study. The HRQOL-sp scale was administered to dental patients in a private clinic who had bichectomy surgery between December 2020 and June 2021. The HRQOL-sp instrument has four domains: oral function, general activity, postoperative signs, symptoms or complications, and pain level. The instrument was administered by telephone survey on days 1, 3, 5 and 7 post-surgery. Interference in quality of life was defined as when patients selected the options "quite a few problems" or "many problems" for oral function and general activity. Signs and symptoms related to post-surgical complications and pain were also described with a verbal rating scale from one to ten. All results were compared between postoperative days according to the domains of the HRQOL-sp scale. Results: Seventy-three patients (age 27.75 ± 8.06 years; 93.15% female) participated. Bichectomy patients report the highest interference in quality of life on the first postoperative day because most were unable to chew (71.23%). On the first and third postoperative days, the most frequent complication was swelling (97.26%), and on the fifth day was ecchymosis (42.47%). The average worst perceived pain was 3.34±2.32 on the verbal analogue scale. The rest of the evaluated items significantly decreased towards the seventh postoperative day (p<0.05). Conclusion:Interference in quality of life associated with bichectomy surgery is greatest on the first postoperative day. Complications and pain levels decreased significantly over time.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Chilean Patients’ Perception of Their Oral Health-Related Quality of Life After Bichectomy

F¹,

Nunez²,

Gutiérrrez³

et al. 2022

PPA

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“…Para fins estéticos a remoção da bola de Bichat promove um destaque dos ângulos da região do ramo de mandíbula e realce da região malar, conferindo um aspecto mais harmônico, permitindo a diminuição do volume do terço médio e inferior da face 3 . Mesmo com esses fins é importante ressaltar ao paciente que a gordura removida cirurgicamente não irá interferir ou acelerar o processo de envelhecimento, visto que as estruturas da face naturalmente ao passar dos anos se atrofiam².…”

Section: Revisão De Literaturaunclassified

“…O tecido gorduroso da bochecha foi relatado pela primeira vez em 1732, por Heister, a princípio foi considerado uma estrutura glandular, chamado de "glândula malar". No ano de 1802, o anatomista francês Marie François Xavier Bichat, foi capaz de definir sua origem adiposa 3 .…”

Section: Introductionunclassified

Bichectomia e a harmonização orofacial

Ribeiro¹

2023

J Multidiscip Dent

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A face é o cartão de visita do ser humano através dela nos expressamos e relacionamos. Assim os procedimentos estéticos têm plena notoriedade para exaltar o belo e melhorar aspectos faciais que incomodam alguns pacientes, como o rosto arredondado. A bola de Bichat foi descrita na literatura pela primeira vez em 1732, nas crianças ela tem importante função no processo de amamentação. A bichectomia é o procedimento cirúrgico realizado em consultório odontológico, sob anestesia local, sem cicatrizes visíveis, que visa remoção parcial do corpo adiposo da bochecha. A remoção proporciona ao paciente uma face mais harmônica, realçando os ângulos da região do ramo da mandíbula e da região malar, diminuindo o volume do terço médio e inferior da face, dando aspecto mais delgado ao rosto. Este trabalho teve como objetivo apresentar uma revisão de literatura sobre o procedimento de bichectomia para fins estéticos. A cirurgia é simples, de curta duração, sem necessidade de internação cirúrgica. Após 6 meses do procedimento, ocorreu a total reabsorção do edema em tecidos moles. Quando bem indicada e executada, a bichectomia oferece resultados harmônicos em relação aos terços da face.

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