Orbital abscess a rare complication after bichectomy surgery.

Area of Science:

• Plastic Surgery
• Ophthalmology
• Otorhinolaryngology

Background:

• Bichectomy involves partial removal of the Bichat's fat pad to enhance facial contours.
• While generally safe, potential complications include infection, hematoma, and nerve injury.
• Intraorbital complications are exceptionally rare following this procedure.

Observation:

• A 29-year-old female developed a right orbital abscess and cellulitis post-bichectomy.
• The patient presented with symptoms indicative of an orbital space infection.

Findings:

• The orbital abscess and cellulitis were managed effectively via endoscopic decompression and drainage.
• The patient experienced complete recovery without any lasting adverse effects.

Implications:

• This case represents the first documented instance of an intraorbital complication after bichectomy.
• Highlights the importance of vigilance for rare but serious complications in aesthetic facial surgery.
• Suggests endoscopic techniques may be valuable for managing such unusual post-bichectomy sequelae.