How to Simulate a Bichectomy

A bichectomy (buccal fat removal) is a popular aesthetic procedure that refines facial contours by reducing volume in the cheek area. With Arbrea Face, plastic surgeons can create precise and realistic simulations to help patients visualize potential outcomes before undergoing surgery.

In this tutorial, we’ll guide you step by step on how to use the Local Changes tool and the Vector Tool to simulate a bichectomy accurately.

Understanding the Tools for a Bichectomy Simulation #

To simulate a bichectomy in Arbrea Face, we use two main tools:

1. Local Changes Tool #

• Allows you to add or remove volume in specific areas of the face.
• Provides precise control over how much fat is removed, ensuring a natural and realistic result.

2. Vector Tool #

• Highlights the modifications made.
• Helps showcase the before-and-after difference clearly to the patient.

Using the Cheek Tool to Simulate Buccal Fat Removal #

1. Open Arbrea Face and select the patient’s image or 3D scan.
2. Click on the Local Changes Tool.
3. Adjust the injection area size:
   • Avoid using the maximum setting—keep it medium for better control.
   • You can increase or decrease the size based on the precision needed.

Removing Volume with Local Changes #

1. Select the “Remove Volume” option (instead of adding volume).
2. Adjust the intensity close to the minimum for a subtle effect.
3. Use your finger to carefully apply the tool over the cheek area where fat reduction is desired.
4. Rotate the model to ensure even adjustments on both sides.
5. If one side has too much reduction, use the undo function to refine the simulation.

Checking the Modifications with the Vector Tool #

1. Open the Vector Tool to highlight the changes.
2. The tool color-codes the depth of volume removal, making it easier to evaluate the modifications.
3. If adjustments are needed, go back and fine-tune the volume removal for a balanced result.

Viewing the Before-and-After Simulation #

Close the tool and toggle the before-and-after view to show the transformation.
Compare the results side by side for a clearer patient discussion.
Highlight the improvements in facial contouring and definition.

Conclusion #

The bichectomy simulation tool in Arbrea Face simplifies facial contouring planning with precise fat removal adjustments, real-time modifications, and enhanced visualization options. By utilizing the Vector Tool, simulation refinements, and before-and-after comparisons, surgeons can enhance consultations and achieve accurate pre-operative planning.

For more guidance, watch the full video tutorial below.