Correlação entre o nível de satisfação e o perfil facial dos pacientes submetidos a bichectomia

Abstract

Bichectomy is a surgical procedure that removes the “Bichat's fat ball” for aesthetic and/or functional purposes resulting in a reduction in the cheeks, which results in a “thinning” of the face with enhancement of the zygomatic region, as well as the mandibular angle. The objective of this study is to verify postoperative satisfaction related to the facial profile in a group of patients undergoing bichectomy. Before the procedure, patients were in Class facial profile: I, II and II. The data comes from 49 medical records of patients who came to the clinic complaining of “having a very rounded face” and wanting to reduce this projection. Facial pattern classification was carried out in frontal and lateral views using standardized photographs and the respective surgeries carried out between August 2017 and August 2020. Data were described in absolute and relative frequencies, and compared using mean and standard deviation. The comparison of proportions was carried out using Pearson's Chi-Square test and the differences between means for two groups using the independent t test, the comparison of nested samples – three or more groups – was carried out using analysis of variance (ANOVA) of one way. The patients had a mean age of 31.3  31.7 years, with the majority being women (91.8%, n = 45). When comparing facial profile with sex, even though there was a predominance of Class II in women (62.2%, n = 28), no significant difference was observed (p = 0.057). When comparing the average age (31.9  14.2 years) with the facial profile, Class II was more prevalent (59.2%, n = 29) however, with no statistical difference (p = 0.879). In this study, it can be concluded that there was a greater prevalence of the Class II facial profile, in which a good facial expression is normally observed.