Why Don’t We Do Bichectomy?

Bichectomy is a highly publicized surgery on the Internet when it comes to facial refinement because we do facial refinement, but we do not perform bichectomy.

The reason is very simple. In many cases, the cosmetic results of bichectomy are not the best. This is because this procedure can produce localized depressions that are completely unsightly in the medium and long term. Another of the main causes is that they produce premature aging. 

This premature aging effect has been described and observed very frequently in patients who have undergone bichectomy some time after surgery. In these cases, a lipoinjection is indicated to correct this undesirable effect. One of the most noticeable effects of premature aging is the loss of the soft tissues of the cheeks. The best solution in these cases is lifting with facial endoscopy.

The alternative that we offer to bichectomy is facial refinement by microlipoaspiration . By using a 1.5-millimeter caliber cannula, we aspirate the fat from the cheeks (cheeks) in a more uniform way to achieve a better aesthetic result.

This technique does not leave noticeable marks on the skin of the face, it does not cause premature aging, nor does it leave localized depressions in the cheeks.

Microlipoaspiration is performed under local anesthesia and very mild sedation. The procedure is completely outpatient (no hospitalization is required) and the patient returns home two hours after the procedure is performed.

With microlipoaspiration, we sculpt the face in a three-dimensional way and we can combine this technique with fat injection in areas where there is a volume deficit such as the forehead, cheekbones or nose.

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Is It Possible To Reduce The Size Of The Forehead?

Actually yes! There are currently two methods to achieve this goal. The first is through hair transplantation and the second through a surgical intervention known as reduction frontoplasty

This surgery to reduce the size of the forehead, consists of moving the scalp line forward, thus decreasing the size of the forehead between 2.5 – 3 cm, this depends a lot on the laxity of the patients’ tissues. Results can be seen immediately after the procedure is performed.

The incision is made inside the scalp. The scar is almost imperceptible as the hair grows back in the area covering it. In cases where the scar is slightly visible, it is possible to perform hair grafting or micro-tattoos to cover it.

  • Type of anesthesia
  • Local
  • Duration of surgery
  • 1.5 hours
  • Hospitalization
  • Ambulatory
  • Review appointments

After 8 days, the stitches are removed, in addition to a control at 3 months to evaluate the patient’s healing. No bandage or drainage is required during this recovery time.

Who are candidates for this surgery?

The ideal candidate for this surgery are men and women who have a high hairline from birth and who are not suffering from hair loss or have a family history of this pathology.

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Facial Beautification Techniques

Various surgical facial beautification techniques offer the patient new and better alternatives.

Surgery of the “V” line

  • JAW BROAD-Thinning the jawbone is done by cutting the jaw bone to decrease its width. This is the “V” line surgery. We perform this surgery under general anaesthesia.
  • LARGE JAW-A large and too advanced jaw causes both aesthetic and functional problems. We perform the receding of the jaw under general anaesthesia.
  • SMALL JAW-A small jaw that is set too far back causes both aesthetic and functional problems. We advance the jaw under general anaesthesia.
  • ASYMMETRIC JAW-A lateralized mandible causes both aesthetic and functional problems. We perform the medicalization and symmetrization of the jaw under general anaesthesia.
  • CHIN-The chin can be large or small. When it is very large, it can be reduced by cutting the bone and removing a portion of the bone. When it is small, it can be reduced by cutting the bone and advancing a part of the chin. We perform this surgery under general anaesthesia.


It is due to the gradual deterioration of the hair follicles. Hair follicles are like the root of a plant. Its deterioration will cause the weakening of the hair and its eventual fall when this weakening is extreme.


Usually skeletonizes as you age, you. You will notice the signs of skeletonization of the forehead as the bony prominences become more noticeable, prominences that were barely noticeable before now become more noticeable. These prominences are the superciliary arches. Then there are also depressions. The appearance of prominences also implies the appearance of depressions next to it.


Are the natural prominences of the forehead. These prominences have a masculinizing component and are inconvenient on the female forehead. Therefore, the correction of prominent brow ridges is a facial feminization surgery.


The patient himself hardly notices this skeletonization of the nose concerning the passage of time. We correct this problem with micro fat, which is processed fat from the same patient under local anaesthesia or sedation. Improving the contour of the nose with micro fat produces excellent results.


The elevation of the nasal tip improves the aesthetics of the nose in many cases. We elevate the nasal tip using both surgical techniques or with supportive threads under local anaesthesia.


The thinning of the wide nose improves nasal aesthetics in many cases. We thin the wide nose by surgical techniques or with support threads under local anaesthesia.


The eyes are the first point of the face to be seen when looking at a face. The changes in ageing are skin redundancy, loss of volume in the contour and “bags” in the lower eyelids.…

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