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infection, asymmetry, temporary trismus. Serious duct or nerve injury is rarer."},"contraindications":["Active infection of the mouth or cheek","Uncontrolled bleeding disorder or anticoagulation that cannot be safely managed","Body dysmorphic disorder","Already lean or gaunt face (relative)","Weak midface support or flat cheekbones (relative)","Prior parotid or facial nerve disorder needing evaluation (relative)","Uncontrolled systemic illness (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Strenuous exercise after surgeon clearance; walking and light activity are usually allowed earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time for residual swelling to resolve and final contour to show."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"Uncomplicated case counted from surgery day, after surgeon clearance; earlier if no bleeding or marked swelling."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":3,"max":7,"unit":"days","qualifier":"Intraoral incision check, counted from surgery day."}},{"purpose":"result_review","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Contour review after most swelling has settled."}}],"indications":["Full lower-mid cheeks from prominent buccal fat pads","Prominent buccal fat pads with adequate cheekbone support"],"main_risks":["Swelling and bruising","Hematoma or intraoral bleeding","Infection","Asymmetry or over- or under-resection","Hollow or gaunt look with aging","Stenson duct injury with saliva leak","Facial nerve branch injury (rare)","Temporary trismus","Anesthesia-related reactions"],"pain":"Usually mild to moderate discomfort, peaking in the first 2-3 days.","preparation":["Consultation with facial assessment and expectation review","Informed consent covering duct, nerve and bleeding risks","Medical history and medication review with surgeon","Avoid smoking as advised","Treat any mouth infection and optimize oral hygiene","Arrange transport home and soft foods"],"recovery_timeline":[{"phase":"First 48 hours","description":"Peak swelling, mild pain and possible minor oozing from incisions.","restrictions":["Soft or liquid diet","Cold compresses as advised","Antiseptic mouth rinses as advised"]},{"phase":"Days 3-7","description":"Swelling and bruising decrease; desk work usually possible.","restrictions":["Avoid hard or chewy foods","Avoid strenuous activity"]},{"phase":"Weeks 2-4","description":"Most visible swelling subsides; sutures dissolve.","restrictions":["Gradual return to full exercise after clearance"]},{"phase":"Months 3-6","description":"Residual swelling resolves and final contour emerges.","restrictions":[]},{"phase":"At any time","description":"Seek prompt assessment for fever, spreading redness, pus, expanding swelling, persistent bleeding, cheek saliva leak, facial weakness or difficulty opening the mouth.","restrictions":[]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Ordinary functional recovery for eating and daily activity; no formal rehabilitation program."},"result_longevity":"Removed fat does not regenerate, so contour change is long-lasting; aging and weight change still alter facial appearance.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Revision for asymmetry or under-resection within 12 months; later age-related hollowing is a separate risk."},"scars":"Small intraoral incision inside the cheek closed with absorbable sutures; no visible external scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session."},"stages":[{"code":"bilateral_bfp_removal","label":"Bilateral intraoral buccal fat pad removal","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone procedure; follow-up checks are not treatment stages."},"success":{"metric":"Achievement of desired cheek slimming without major complication","value":85,"unit":"percent","horizon":"6 months","population":"Adult men with suitable fullness and adequate midface support","evidence_status":"limited"},"techniques":[{"name":"Intraoral buccal fat pad excision via small incision","suits_whom":"Adult men with full lower-mid cheeks and adequate bone structure seeking a slimmer, more defined contour.","recovery":"Soft diet for several days; swelling settles over weeks, final contour in months."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Both cheeks, standalone, under local anesthesia."},"initial_assessment_documents":["Front photo of face, relaxed expression","Both side profile photos","45-degree angle photos of both cheeks","Smiling front face photo (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage same-day surgery; stay 3-7 days for wound check and surgeon clearance. Result review can be done remotely."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=kolumbiya/city=kali/procedure=udalenie-komkov-bisha-u-muzhchin/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false}