LIPECTOMY ASSOCIATED WITH FACIAL HARMONIZATION AND CHEW FUNCTIONALITY: CASE REPORT

Abstract

INTRODUCTION: LIPECTOMY OR BICHECTOMY SUPPORTS AN INTRAORAL SURGICAL INTERVENTION, IN WHICH THE REMOVAL OF THE ADIPOSE CUSHION CALLED "BICHAT BALL" OCCURS, A MASS OF LOBULATED FAT SURROUNDED BY A THIN CONNECTIVE TISSUE, LOCATED IN THE MIDDLE THIRD OF THE FACE BETWEEN TWO FACIAL MUSCLES THAT HELP IN CHEWING AND SUCKING MOVEMENTS. THE PROCEDURE CAN BE PERFORMED BY DENTISTS OR PLASTIC SURGEONS, AIMING AT FUNCTIONAL AND AESTHETIC REHABILITATION TO ENHANCE THE FACIAL CONTOUR. OBJECTIVES: THE PRESENT STUDY CONCERNS THE DETAILED DESCRIPTION OF THE SURGICAL TECHNIQUE OF LIPECTOMY, PAYING TO THE ANATOMY OF THE ADIPOSE TISSUE AND THE IMPORTANT STRUCTURES PRESENT IN THE SITE, EMPHASIZING THE CASE REPORT IN WHICH THE PATIENT REPORTS INCOMASING DURING THE ACT OF BITING IN THE REGION OF THE JUGAL MUCOSA. METHODOLOGY: THIS IS A CASE REPORT WITH EXPLORATORY DESCRIPTIVE CHARACTER OF A SURGICAL PERFORMANCE OF LIPECTOMY WITH AESTHETIC-FUNCTIONAL PURPOSE. RESULTS AND DISCUSSIONS: IN VIEW OF THE ABOVE CASE REPORT AND A CAREFUL LITERARY ANALYSIS, IT CAN BE SAID THAT THE ADIPOSE CUSHION HAS EXTENSIONS NAMED ACCORDING TO THE MUSCLES INVOLVED IN THE REGION OF THE SURGICAL INCISION. AT FIRST, ANAMNESIS, EXTRA AND INTRA-ORAL PHYSICAL EXAMINATION WAS PERFORMED, WHERE A LESION IN THE JUGAL MUCOSA WAS OBSERVED DUE TO FREQUENT NIBBLINGS. THEREFORE, THE DIAGNOSIS WAS MADE BY FACIAL ANALYSIS IN WHICH THEY FOUND POOR MALAR PROJECTION AND ROUNDED FACE AND IN VIEW OF THE CLINICAL ASPECTS OF THE PATIENT, IT WAS CONCLUDED THAT IT FIT THE MAIN SURGICAL INDICATIONS, BEING THEM WITH FUNCTIONAL AND AESTHETIC PURPOSES. THE SURGERY ITSELF WAS PERFORMED THROUGH A SINGLE SURGICAL ACT, FOLLOWING ALL REHABILITATIVE SEQUENCING IN WHICH IT EXTENDS, FROM THE PREOPERATIVE TO THE POSTOPERATIVE PERIOD. THE EVACUATED VOLUME OF THE ADIPOSE CUSHION WAS 5ML BILATERALLY, CORROBORATING THE LITERATURE. FINAL CONSIDERATIONS: THE INTERVENTION OF LIPECTOMY OR BICHECTOMY IS AN EXCELLENT ALTERNATIVE FOR SOLVING FUNCTIONAL AND AESTHETIC PROBLEMS, WHEN CORRECTLY DIAGNOSED.  THEREFORE, THROUGH THE GOOD RESULTS OF THE CASE, THE IMPORTANCE OF ANTIBIOTIC PROPHYLAXIS PRECEDING THE PROCEDURE WAS VERIFIED, SINCE IT DECREASES POSSIBLE COMPLICATIONS OR EVEN POSSIBLE COMPLICATIONS, WHICH DID NOT OCCUR IN THIS CASE.