Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Laura
Data de Publicação: 2024
Outros Autores: Silva, Miriane Plaza, Ravasoli, Nathalia Zaguine, Scriboni, Andreia Borges
Tipo de documento: Artigo
Idioma: eng
Título da fonte: MedNEXT Journal of Medical and Health Sciences
DOI: 10.54448/mdnt24201
Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/361
Resumo: Introduction: According to the Brazilian Society of Plastic Surgery in 2016, 7,362 people underwent bichectomy (BC), which represents 0.5% of the total number of aesthetic surgeries. In an attempt to achieve facial harmonization, BC surgery presents little complexity and is based on some well-defined steps. Even when appropriately indicated, it is still a controversial procedure, as there is no surgical technique adequately systematized in current literature, aiming to make it safe and reproducible. Objective: It was to present the main aesthetic considerations and complications of bichectomy, as well as discuss its safe management to avoid and treat problems. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from November 2023 to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 96 articles were found, 40 articles were evaluated in full and 28 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 12 studies with a high risk of bias and 10 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=67.9%>50%. It was concluded that on an aesthetic level, performing a bichectomy thins the middle third of the face, outlining and highlighting the bone angulations of the zygomatic region, contributing to a more pleasant facial aesthetics. Surgical removal of the Bichat ball induces a mild inflammatory process controlled by rescue medication, significantly reduces facial volume, and improves the quality of life and satisfaction with facial aesthetics 3 months postoperatively. Several studies have presented the importance of using the Bichat ball as an oral layer to close fistulas and also to cover bone grafts in implant dentistry.
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spelling Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic reviewFacial aestheticsBichat's fat ballBichectomyComplicationsIntroduction: According to the Brazilian Society of Plastic Surgery in 2016, 7,362 people underwent bichectomy (BC), which represents 0.5% of the total number of aesthetic surgeries. In an attempt to achieve facial harmonization, BC surgery presents little complexity and is based on some well-defined steps. Even when appropriately indicated, it is still a controversial procedure, as there is no surgical technique adequately systematized in current literature, aiming to make it safe and reproducible. Objective: It was to present the main aesthetic considerations and complications of bichectomy, as well as discuss its safe management to avoid and treat problems. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from November 2023 to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 96 articles were found, 40 articles were evaluated in full and 28 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 12 studies with a high risk of bias and 10 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=67.9%>50%. It was concluded that on an aesthetic level, performing a bichectomy thins the middle third of the face, outlining and highlighting the bone angulations of the zygomatic region, contributing to a more pleasant facial aesthetics. Surgical removal of the Bichat ball induces a mild inflammatory process controlled by rescue medication, significantly reduces facial volume, and improves the quality of life and satisfaction with facial aesthetics 3 months postoperatively. Several studies have presented the importance of using the Bichat ball as an oral layer to close fistulas and also to cover bone grafts in implant dentistry.MetaScience Press2024-03-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/36110.54448/mdnt24201MedNEXT Journal of Medical and Health Sciences; Vol. 5 No. 2 (2024): MedNEXT - May 2024MedNEXT Journal of Medical and Health Sciences; v. 5 n. 2 (2024): MedNEXT - May 20242763-5678reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/361/336Copyright (c) 2024 Laura Ribeiro, Miriane Plaza Silva, Nathalia Zaguine Ravasoli, Andreia Borges Scribonihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRibeiro, LauraSilva, Miriane PlazaRavasoli, Nathalia ZaguineScriboni, Andreia Borges2024-03-08T12:21:22Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/361Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2024-03-08T12:21:22MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false
dc.title.none.fl_str_mv Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
title Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
spellingShingle Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
Ribeiro, Laura
Facial aesthetics
Bichat's fat ball
Bichectomy
Complications
Ribeiro, Laura
Facial aesthetics
Bichat's fat ball
Bichectomy
Complications
title_short Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
title_full Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
title_fullStr Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
title_full_unstemmed Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
title_sort Major clinical approaches at the aesthetic level and complications of bichectomy: a systematic review
author Ribeiro, Laura
author_facet Ribeiro, Laura
Ribeiro, Laura
Silva, Miriane Plaza
Ravasoli, Nathalia Zaguine
Scriboni, Andreia Borges
Silva, Miriane Plaza
Ravasoli, Nathalia Zaguine
Scriboni, Andreia Borges
author_role author
author2 Silva, Miriane Plaza
Ravasoli, Nathalia Zaguine
Scriboni, Andreia Borges
author2_role author
author
author
dc.contributor.author.fl_str_mv Ribeiro, Laura
Silva, Miriane Plaza
Ravasoli, Nathalia Zaguine
Scriboni, Andreia Borges
dc.subject.por.fl_str_mv Facial aesthetics
Bichat's fat ball
Bichectomy
Complications
topic Facial aesthetics
Bichat's fat ball
Bichectomy
Complications
description Introduction: According to the Brazilian Society of Plastic Surgery in 2016, 7,362 people underwent bichectomy (BC), which represents 0.5% of the total number of aesthetic surgeries. In an attempt to achieve facial harmonization, BC surgery presents little complexity and is based on some well-defined steps. Even when appropriately indicated, it is still a controversial procedure, as there is no surgical technique adequately systematized in current literature, aiming to make it safe and reproducible. Objective: It was to present the main aesthetic considerations and complications of bichectomy, as well as discuss its safe management to avoid and treat problems. Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from November 2023 to February 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 96 articles were found, 40 articles were evaluated in full and 28 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 12 studies with a high risk of bias and 10 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=67.9%>50%. It was concluded that on an aesthetic level, performing a bichectomy thins the middle third of the face, outlining and highlighting the bone angulations of the zygomatic region, contributing to a more pleasant facial aesthetics. Surgical removal of the Bichat ball induces a mild inflammatory process controlled by rescue medication, significantly reduces facial volume, and improves the quality of life and satisfaction with facial aesthetics 3 months postoperatively. Several studies have presented the importance of using the Bichat ball as an oral layer to close fistulas and also to cover bone grafts in implant dentistry.
publishDate 2024
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dc.relation.none.fl_str_mv https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/361/336
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dc.publisher.none.fl_str_mv MetaScience Press
publisher.none.fl_str_mv MetaScience Press
dc.source.none.fl_str_mv MedNEXT Journal of Medical and Health Sciences; Vol. 5 No. 2 (2024): MedNEXT - May 2024
MedNEXT Journal of Medical and Health Sciences; v. 5 n. 2 (2024): MedNEXT - May 2024
2763-5678
reponame:MedNEXT Journal of Medical and Health Sciences
instname:Faculdade de Medicina em São José do Rio Preto (Faceres)
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dc.identifier.doi.none.fl_str_mv 10.54448/mdnt24201