Bags are also called Buccal fat is a clear anatomical structure that has a great relevance in the contour of the cheeks and the mid and lower face.

This intervention is made in round or oval face causing facial symmetry changes, reducing the cheek. Following the intervention achieve surprising results of facial aesthetics.

Bichat Ball give fullness to the cheeks of children, with age and growth of the underlying structure of the face, buccal fat pad in the relative size decreases. However, evidence of his facial features and the prevalence of abundant well-known.

There are constant in terms of weight and volume, with an average of 9.3 grams and 9.6 cc. Bichat ball size correlated poorly with the patient’s level of adiposity.

Immediate complications include hematoma. An abscess may appear on the second or third day
May also rarely occur or buccal facial nerve paralysis and zygomatic branches.

A sequel would be no facial asymmetry is less practical to take a different volume of the buccal fat pad.
Each paresis disappeared in the month with physical therapy and vitamin B complex An optimal results are verified by two months post-surgery.

In some parts of your body does not harmonize with the rest, so they often feel insecure and low self-esteem. For ears, have them too large can be a source of teasing and name calling, especially in the school years, which makes children feel ridiculous and uncomfortable with this part of your body.

Plastic surgery of the ears or otoplasty is an operation that aims to improve the size and shape of the ears, to make them look more aesthetic. It is also very useful when there are amputations, deformities, trauma or accidents that warrant repair this part of the body.

Who are the best candidates
The operation can be performed at any age, but the best candidates are children between six and 14 years, because at this age the ears are fully developed, and is where they begin to shape their personality and their safety. Who are healthy and understand the physical limitations that are required for good recovery.

Procedure
An incision is made at the junction of the ear to the skull. The surgeon may remove skin and cartilage, or influence and reposition it. In addition to correcting the position of the ears can be reduced in size, change shape a bit and made more symmetrical. The cartilage is secured with permanent sutures which anchor the ear while these heal.

Where is performed and how long
The procedure takes about two to three hours and the patient can be discharged the same day of surgery, depending on the age and general conditions in which it has. General anesthesia is used when the patient is younger, but young adults can be performed with local anesthesia and sedation.

Aftercare
During the first week should use an elastic bandage around his head day and night, and then only at night two weeks. It is important not to put pressure on the ears. The patient is advised to sleep on your stomach or your back for a few weeks. A week after the operation may return to normal life. It is necessary to avoid physical activities of daily living. However, it is recommended to protect the ears to avoid contact sports for a month.
The ultimate result will be visible around the third month when the swelling completely disappears.

Advantages
Otoplasty can achieve a radical change in the appearance of people with prominent ears, simply making them more symmetrical view, smaller and natural. Positive changes are inconclusive as to the attitude and security acquired by children and youth operated.

Complications
Overall complications are minor and infrequent. The risks as any operation associated with the type of surgery: presence of hematoma under the skin of the ear, which can dissolve spontaneously or may need to be aspirated with a needle. If the hematoma is large and not treated, can cause damage to the cartilage of the ear. In the event of an infection in the cartilage may develop deformities as “cauliflower ear”, they should be treated with antibiotics and drainage. The scars of the ear usually heal very well, but in some cases very thick scars can occur that require a subsequent correction.