Remoção de gordura bucal

O que é a Cirurgia de Remoção de Gordura Bucal?

 

A Remoção de Gordura Bucal, também designada por Bichectomia ou Bochecha de Hollywood, é uma Cirurgia Estética Facial que tem como objetivo tornar as maçãs do rosto mais proeminentes e as linhas faciais mais nítidas através da remoção do tecido adiposo bucal na área da bochecha. A Remoção de Gordura Bucal altera as linhas faciais em forma de U para uma forma em V mais nítida. A Remoção de Gordura Bucal não deixa marcas de pontos visíveis e é permanente desde que não haja um aumento excessivo de peso.

 

Porque é que a remoção de gordura bucal é efectuada?

 

A cirurgia de remoção de gordura bucal é efectuada em doentes que têm uma acumulação excessiva de gordura nas bochechas em ligação com a estrutura facial. O tecido adiposo oculta os traços faciais e dá um aspeto mais rechonchudo às bochechas do doente, o que pode passar erradamente uma imagem de excesso de peso.

 

Após a cirurgia de remoção da gordura bucal, aparecem linhas nítidas no rosto do doente sob a forma de um triângulo invertido esteticamente agradável.

 

Quais são as condições para a Remoção de Gordura Bucal?

 

A Bichectomia, que também pode ser definida como cirurgia de afinamento das bochechas, pode ser aplicada tanto em homens como em mulheres. A remoção de gordura bucal não é recomendada para os seguintes pacientes:

 

  • Os pacientes com menos de 25 anos, uma vez que as características faciais dos pacientes mais jovens podem continuar a mudar até aos 25 anos.
  • Os pacientes que têm um Índice de Massa Corporal, IMC, acima de 25, uma vez que os pacientes com excesso de peso ou obesos estão frequentemente insatisfeitos com a sua aparência após a perda de peso.
  • Fumadores e indivíduos com idade superior a 45 anos.
  • Os pacientes que têm bochechas finas. A remoção de gordura bucal é mais adequada para pacientes com bochechas cheias, o que pode evitar efeitos adversos que podem aparecer com a idade avançada.
  • Os pacientes que não são adequados para anestesia geral. O historial de saúde do paciente é revisto e são realizados testes de diagnóstico pré-operatórios adequados para avaliar a elegibilidade.

 

Quais são os factores a ter em conta antes da remoção da gordura bucal?

 

Antes da cirurgia, recomenda-se aos pacientes o seguinte:

 

  • O doente deve estar no hospital um dia antes da cirurgia para efetuar os exames pré-operatórios.
  • O doente deve deixar de fumar, beber álcool e consumir drogas recreativas um mês antes da cirurgia.
  • O paciente deve evitar medicamentos que contenham aspirina ou ibuprofeno (Advil, Motrin IB, outros) durante duas semanas antes e depois da cirurgia. Estes medicamentos podem aumentar o risco de hemorragia interna. Os doentes devem confirmar cada medicamento e suplemento que pretendem tomar com o seu coordenador de doentes.
  •  

Como é efectuada a Remoção de Gordura Bucal?

 

A remoção de gordura bucal pode ser efectuada sob anestesia geral ou local. É efectuada uma incisão na parte posterior da cavidade oral, junto ao segundo molar superior, na boca. O músculo bucinador torna-se então visível, as suas fibras são separadas, sem incisão, até que a gordura bucal esteja acessível. Em seguida, abre-se um invólucro fino sobre a gordura e esta é suavemente arrancada através de uma pressão suave aplicada externamente. A gordura é então cauterizada na base e removida. A restante almofada de gordura bucal é colocada de novo no seu local anatómico e a mucosa oral, bem como as incisões, são suturadas. Em média, o procedimento demora cerca de 30 minutos.

 

Quais são os aspectos a ter em conta após a remoção da gordura bucal?

 

Recomenda-se aos pacientes o seguinte:

 

  • Não comer ou beber nada até três horas após a cirurgia.
  • Prevenir o inchaço da boca aplicando pressões frias durante 15 minutos em intervalos regulares nos primeiros 3 dias após a remoção da gordura bucal.
  • Gargarejo com água salgada a cada 12 horas nos primeiros 7 dias após a cirurgia, uma vez que a cirurgia é realizada dentro da boca.
  • Evitar actividades físicas extenuantes.
  • Uso de medicamentos prescritos conforme orientação do Cirurgião Plástico.
  • Colocar protetor solar quando sair à rua nas primeiras semanas após a cirurgia, especialmente se a cirurgia foi realizada no verão.
  • Manter uma boa higiene dentária para evitar uma infeção, uma vez que os pontos estão dentro da boca.
  • Esperar uma semana para que o inchaço diminua, e 2 a 4 meses para que as bochechas atinjam o seu aspeto permanente.

 

Quais são os riscos da remoção de gordura bucal?

 

Embora a remoção de gordura bucal seja uma cirurgia estética curta e simples, como qualquer cirurgia de grande porte, tem alguns riscos associados. Os possíveis riscos da cirurgia de remoção de gordura bucal incluem, mas não estão limitados aos seguintes:

 

  • Hemorragia
  • Trombose venosa profunda, complicações cardíacas e pulmonares
  • Seroma
  • Hematoma
  • Infeção
  • Lesão de um ducto salivar
  • Lesão de ramos do nervo facial, resultando em fraqueza muscular facial temporária ou permanente
  • Dormência ou outras alterações da sensibilidade
  • Inchaço prolongado
  • Resultado estético abaixo do ideal e/ou alterações mínimas
  • Riscos associados à anestesia
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