Bichectomia: Indicações, Contraindicações e Complicações

Abstract

The pursuit of aesthetic standards has intensified over the past decades, driven by sociocultural factors and the influence of social media. In aesthetic dentistry, facial harmony represents a key therapeutic goal, and bichectomy the partial removal of the buccal fat pad (Bichat’s ball) has gained popularity as a facial contouring technique. This study aims to review the scientific literature regarding the main indications, contraindications, and complications associated with bichectomy, as well as to discuss its clinical applicability and limitations. It is a qualitative literature review based on publications from 2010 to 2025 retrieved from databases such as Google Scholar. Findings indicate that, although bichectomy can provide both aesthetic and functional benefits, it should be carefully indicated and performed by qualified professionals due to the anatomical complexity of the region and the potential for complications such as hematomas, infections, facial asymmetries, and nerve injuries. It is concluded that successful outcomes depend on detailed anamnesis, individualized planning, and precise anatomical knowledge by the surgeon.